| Gouverneur Healthcare Services | |
|
227 Madison St Medical Staff Office R-1249 New York NY 10002-7537 | |
| (212) 238-7614 | |
| (212) 238-7009 |
| Full Name | Gouverneur Healthcare Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 227 Madison St, New York, New York |
| Authorized Official Name and Position | Marji Karlin (CHIEF REVENUE OFFICER) |
| Authorized Official Contact | 6464583481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gouverneur Healthcare Services 50 Water St Fl 3 New York NY 10004-6010 Ph: (646) 458-3481 | Gouverneur Healthcare Services 227 Madison St Medical Staff Office R-1249 New York NY 10002-7537 Ph: (212) 238-7614 |
| NPI Number | 1548208127 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 09/13/2021 |
| Medicare PECOS PAC ID | 4183535305 |
|---|---|
| Medicare Enrollment ID | O20040322001521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548208127 | NPI | - | NPPES |
| 00243352 | Medicaid | NY | |
| 009748 | Other | NY | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 7002103R (New York) | Primary |
| 3336I0012X | Pharmacy - Institutional Pharmacy | (* (Not Available)) | Secondary |
| Provider Name | Girish Bulsara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043298052 PECOS PAC ID: 4284538158 Enrollment ID: I20031121000608 |
| Provider Name | Nora Morgenstern |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386787208 PECOS PAC ID: 6709782907 Enrollment ID: I20031209000659 |
| Provider Name | Bruce C Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427141696 PECOS PAC ID: 4183523368 Enrollment ID: I20040107000361 |
| Provider Name | Danny C Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497710990 PECOS PAC ID: 9638071863 Enrollment ID: I20040127000180 |
| Provider Name | Husayn Al-husayni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619014107 PECOS PAC ID: 3971496613 Enrollment ID: I20040205000746 |
| Provider Name | Joseph Poon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174541205 PECOS PAC ID: 5294622247 Enrollment ID: I20040303000676 |
| Provider Name | Natalie M Montemayor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437246162 PECOS PAC ID: 0749178051 Enrollment ID: I20040309000076 |
| Provider Name | Daniel Rosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568592962 PECOS PAC ID: 7810886553 Enrollment ID: I20040311001161 |
| Provider Name | Thomas E Lillis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093804866 PECOS PAC ID: 1052200177 Enrollment ID: I20040315000856 |
| Provider Name | John G Hay |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548200819 PECOS PAC ID: 8820988199 Enrollment ID: I20040318001617 |
| Provider Name | Linda Moy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922064559 PECOS PAC ID: 6406747666 Enrollment ID: I20040324001436 |
| Provider Name | Imaduddin Syed Hashmi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013198886 PECOS PAC ID: 3779475652 Enrollment ID: I20040325001687 |
| Provider Name | Maria De Pena-nowak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043273956 PECOS PAC ID: 3375435118 Enrollment ID: I20040326000936 |
| Provider Name | Jiyon Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336192632 PECOS PAC ID: 2466444559 Enrollment ID: I20040330001870 |
| Provider Name | Erwin C Ting |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114968120 PECOS PAC ID: 6507858354 Enrollment ID: I20040401000070 |
| Provider Name | Titus A Morton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255407300 PECOS PAC ID: 7416940705 Enrollment ID: I20040405000174 |
| Provider Name | David C Ferris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811095375 PECOS PAC ID: 6103819727 Enrollment ID: I20040407001257 |
| Provider Name | Alla Zlotina |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598707887 PECOS PAC ID: 0143215665 Enrollment ID: I20040415000588 |
| Provider Name | John Gian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316931520 PECOS PAC ID: 1557356672 Enrollment ID: I20040419000317 |
| Provider Name | Evlyn Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285642959 PECOS PAC ID: 4789679622 Enrollment ID: I20040419001306 |
| Provider Name | Mark Philip Bernstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609830132 PECOS PAC ID: 1052307733 Enrollment ID: I20040421000022 |
| Provider Name | Lauren P Crump |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265440036 PECOS PAC ID: 0547256950 Enrollment ID: I20040421001733 |
| Provider Name | Lloyd Haskes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588764252 PECOS PAC ID: 9032105192 Enrollment ID: I20040423000099 |
| Provider Name | Lisa D Brabham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063455293 PECOS PAC ID: 8820084858 Enrollment ID: I20040423000671 |
| Provider Name | Stephen Oddo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114947207 PECOS PAC ID: 7517953474 Enrollment ID: I20040424000186 |
| Provider Name | Sreedhar Kallakuri |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285645028 PECOS PAC ID: 3072500313 Enrollment ID: I20040428000689 |
| Provider Name | Judith L Chervenak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366504706 PECOS PAC ID: 2466449509 Enrollment ID: I20040429000529 |
| Provider Name | Arash Gohari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134120983 PECOS PAC ID: 2769479740 Enrollment ID: I20040429001602 |
| Provider Name | Lawrence Anthony Santi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982676581 PECOS PAC ID: 9739177437 Enrollment ID: I20040503000709 |
| Provider Name | Debbie R Ollivierre-noel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215015268 PECOS PAC ID: 8426046178 Enrollment ID: I20040503001022 |
| Provider Name | Penny P Lustig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710960133 PECOS PAC ID: 0446248959 Enrollment ID: I20040504000553 |
| Provider Name | Hossam Eldin S Fayed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699289942 PECOS PAC ID: 3779571005 Enrollment ID: I20040504001527 |
| Provider Name | Prakash J Kamalnath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457422289 PECOS PAC ID: 5799773032 Enrollment ID: I20040504001582 |
| Provider Name | Francoise D Jusma |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619969946 PECOS PAC ID: 8224026471 Enrollment ID: I20040505000739 |
| Provider Name | Magalie Pierre-louis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952464554 PECOS PAC ID: 6901894096 Enrollment ID: I20040505001751 |
| Provider Name | Nancy S Tarlin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063426641 PECOS PAC ID: 4688663586 Enrollment ID: I20040506001591 |
| Provider Name | Catherine Petchprapa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477500130 PECOS PAC ID: 3173512019 Enrollment ID: I20040507000096 |
| Provider Name | Juan A. Gaetan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730165192 PECOS PAC ID: 7911996749 Enrollment ID: I20040507000831 |
| Provider Name | Janna L Teytel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235260134 PECOS PAC ID: 7517956931 Enrollment ID: I20040511000523 |
| Provider Name | Inna Sosina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003904277 PECOS PAC ID: 9234128315 Enrollment ID: I20040512000724 |
| Provider Name | Aaron Glockenberg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588658967 PECOS PAC ID: 2567452543 Enrollment ID: I20040512001604 |
| Provider Name | Zoi Gamagaris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619992500 PECOS PAC ID: 9032109905 Enrollment ID: I20040513000574 |
| Provider Name | Asma Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134202963 PECOS PAC ID: 7113917915 Enrollment ID: I20040513001490 |
| Provider Name | Tin Myint |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992832752 PECOS PAC ID: 1850381658 Enrollment ID: I20040513001551 |
| Provider Name | Pappathi Anbalagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538243860 PECOS PAC ID: 4385634195 Enrollment ID: I20040513001567 |
| Provider Name | Kitnamma Rajaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346364320 PECOS PAC ID: 1759371560 Enrollment ID: I20040513001578 |
| Provider Name | Mitchell Berkowitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447290754 PECOS PAC ID: 6901896307 Enrollment ID: I20040517001139 |
| Provider Name | Margarita Fuzaylova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003991613 PECOS PAC ID: 2567452824 Enrollment ID: I20040517001573 |
| Provider Name | Chaitali Bagchi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154473361 PECOS PAC ID: 6204827322 Enrollment ID: I20040519000186 |
| Provider Name | Conellia Ha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245238278 PECOS PAC ID: 8729079843 Enrollment ID: I20040519000206 |
| Provider Name | Joan D Goodman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417919440 PECOS PAC ID: 1052302866 Enrollment ID: I20040520000952 |
| Provider Name | Donna A Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679589824 PECOS PAC ID: 6103817713 Enrollment ID: I20040521000896 |
| Provider Name | Joshua T Sullum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720001878 PECOS PAC ID: 6305837865 Enrollment ID: I20040521001377 |
| Provider Name | Maj L Wickstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023075884 PECOS PAC ID: 4880685247 Enrollment ID: I20040524000511 |
| Provider Name | Leon D Rybak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174588339 PECOS PAC ID: 3375524499 Enrollment ID: I20040525001689 |
| Provider Name | Jeffrey M Dacher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518058783 PECOS PAC ID: 5698756609 Enrollment ID: I20040526000688 |
| Provider Name | Edovard J Hazel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588797021 PECOS PAC ID: 1052392917 Enrollment ID: I20040526001114 |
| Provider Name | Stephen Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386672053 PECOS PAC ID: 8628059029 Enrollment ID: I20040529000107 |
| Provider Name | Sarwat K Amer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467435586 PECOS PAC ID: 6103808563 Enrollment ID: I20040601001248 |
| Provider Name | Fernando S Mora Mclaughlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942381405 PECOS PAC ID: 4880676949 Enrollment ID: I20040602001284 |
| Provider Name | Paul Lui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720027790 PECOS PAC ID: 1850373515 Enrollment ID: I20040605000055 |
| Provider Name | Joseph Y Fuchs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508970542 PECOS PAC ID: 0143202838 Enrollment ID: I20040605000203 |
| Provider Name | Sanjay N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669492534 PECOS PAC ID: 9931181450 Enrollment ID: I20040607000954 |
| Provider Name | Elizabeth C Oommen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851415822 PECOS PAC ID: 0042292518 Enrollment ID: I20040607001207 |
| Provider Name | Yelena Suler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1023132008 PECOS PAC ID: 7618950866 Enrollment ID: I20040609001287 |
| Provider Name | Neena Gadangi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720048069 PECOS PAC ID: 1951384841 Enrollment ID: I20040610001768 |
| Provider Name | Nazma A Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518997360 PECOS PAC ID: 2961485867 Enrollment ID: I20040610001835 |
| Provider Name | Xiang N Luo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972690832 PECOS PAC ID: 4789666249 Enrollment ID: I20040610001845 |
| Provider Name | Maria L Bunag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144287533 PECOS PAC ID: 1355324278 Enrollment ID: I20040611000190 |
| Provider Name | Percy A Erachshaw |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659362358 PECOS PAC ID: 6103800800 Enrollment ID: I20040617001378 |
| Provider Name | Alexander B Baxter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164486395 PECOS PAC ID: 2567447006 Enrollment ID: I20040621000366 |
| Provider Name | Mahendra Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598704181 PECOS PAC ID: 3173509692 Enrollment ID: I20040625000742 |
| Provider Name | Helene A Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548201353 PECOS PAC ID: 9032195151 Enrollment ID: I20040628001479 |
| Provider Name | Mervat K Hana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538252507 PECOS PAC ID: 6406832302 Enrollment ID: I20040629001160 |
| Provider Name | Jean Leopold E Renaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235177668 PECOS PAC ID: 2163400102 Enrollment ID: I20040707001560 |
| Provider Name | Mary M Mccord |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396724084 PECOS PAC ID: 5193703031 Enrollment ID: I20040708000794 |
| Provider Name | Robin J Mitnick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437182276 PECOS PAC ID: 5991783672 Enrollment ID: I20040709000428 |
| Provider Name | Abu S Matin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700891249 PECOS PAC ID: 3971581182 Enrollment ID: I20040713000422 |
| Provider Name | Alicja Hanna Goracy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780613612 PECOS PAC ID: 6204815681 Enrollment ID: I20040719000735 |
| Provider Name | Jeffrey N Nichols |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1457562225 PECOS PAC ID: 5496725681 Enrollment ID: I20040727000430 |
| Provider Name | Dorene M Soo Hoo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003857210 PECOS PAC ID: 5890766083 Enrollment ID: I20040802001551 |
| Provider Name | Purnima Popli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871585612 PECOS PAC ID: 1254302268 Enrollment ID: I20040803001681 |
| Provider Name | William H Moore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285670927 PECOS PAC ID: 5890692081 Enrollment ID: I20040805000101 |
| Provider Name | Clifford U Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437161114 PECOS PAC ID: 8628041621 Enrollment ID: I20040817001504 |
| Provider Name | Ronald S Adler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932102753 PECOS PAC ID: 6608840350 Enrollment ID: I20040819001459 |
| Provider Name | Aspan S Ohson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689678559 PECOS PAC ID: 8022082791 Enrollment ID: I20040819001572 |
| Provider Name | Atinuke A Ogunlade Addams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083679690 PECOS PAC ID: 1759356314 Enrollment ID: I20040827000973 |
| Provider Name | Dennis Domosi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568451995 PECOS PAC ID: 5496720369 Enrollment ID: I20040902000074 |
| Provider Name | Ramona A Yubontoy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033197280 PECOS PAC ID: 1850367509 Enrollment ID: I20040903000810 |
| Provider Name | Cecilia L Mercado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164488821 PECOS PAC ID: 8022084649 Enrollment ID: I20040906000004 |
| Provider Name | Edward Rendon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063496040 PECOS PAC ID: 5395711774 Enrollment ID: I20040907001310 |
| Provider Name | Debora S Velasco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831110600 PECOS PAC ID: 5496722027 Enrollment ID: I20040914000324 |
| Provider Name | Laura J Newman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336102656 PECOS PAC ID: 3274500426 Enrollment ID: I20040916000002 |
| Provider Name | Jinah K Shin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841278975 PECOS PAC ID: 7315915063 Enrollment ID: I20040920001311 |
| Provider Name | Alan Michael Kantor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932100781 PECOS PAC ID: 3072572015 Enrollment ID: I20041006000611 |
| Provider Name | Samiran K Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699867044 PECOS PAC ID: 5294795050 Enrollment ID: I20041015000275 |
| Provider Name | Maria Victa Atienza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689717720 PECOS PAC ID: 4587625975 Enrollment ID: I20041019001364 |
| Provider Name | Michael B Mechlin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205891223 PECOS PAC ID: 1456313857 Enrollment ID: I20041028000472 |
| Provider Name | Hussein M Matari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447321476 PECOS PAC ID: 9931161114 Enrollment ID: I20041030000000 |
| Provider Name | Michael M Ambrosino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497719991 PECOS PAC ID: 7416919501 Enrollment ID: I20041101000728 |
| Provider Name | Philippe A Rigaud |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730126798 PECOS PAC ID: 0547222440 Enrollment ID: I20041102001191 |
| Provider Name | Ann L Doerfler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255353124 PECOS PAC ID: 5991768517 Enrollment ID: I20041104001116 |
| Provider Name | Peter Spiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457452013 PECOS PAC ID: 9537125208 Enrollment ID: I20041203000827 |
| Provider Name | Mikhail Manasherov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295811404 PECOS PAC ID: 8527024983 Enrollment ID: I20041207000871 |
| Provider Name | Richard B Rafal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164422689 PECOS PAC ID: 8426015801 Enrollment ID: I20041216001123 |
| Provider Name | Mark Khaykin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134216617 PECOS PAC ID: 2769449917 Enrollment ID: I20041220000347 |
| Provider Name | Aung Z Ya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982756656 PECOS PAC ID: 9032177019 Enrollment ID: I20041222000036 |
| Provider Name | Alan M Weitz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124093729 PECOS PAC ID: 1052379435 Enrollment ID: I20050103000106 |
| Provider Name | Daniel D Rosen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699863357 PECOS PAC ID: 1456309657 Enrollment ID: I20050104000973 |
| Provider Name | Matthew W Shawl |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225086598 PECOS PAC ID: 5597715987 Enrollment ID: I20050127000985 |
| Provider Name | Jennifer G Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720006869 PECOS PAC ID: 4486604295 Enrollment ID: I20050129000107 |
| Provider Name | Daniela K Atanassova-lineva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639106297 PECOS PAC ID: 0941251532 Enrollment ID: I20050201000333 |
| Provider Name | Sanjiv S Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114997921 PECOS PAC ID: 8426000555 Enrollment ID: I20050217000144 |
| Provider Name | Serge A Mitelman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831275049 PECOS PAC ID: 4789637232 Enrollment ID: I20050224000886 |
| Provider Name | Orlando A Ortiz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629012224 PECOS PAC ID: 6901859255 Enrollment ID: I20050225000672 |
| Provider Name | Esteban Ortega |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235175811 PECOS PAC ID: 5991759219 Enrollment ID: I20050309000965 |
| Provider Name | Sergei Lapinel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780622522 PECOS PAC ID: 7517912264 Enrollment ID: I20050316000282 |
| Provider Name | Dane L Blumenthal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306823240 PECOS PAC ID: 2668427311 Enrollment ID: I20050316000334 |
| Provider Name | Vivian Sobel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275620361 PECOS PAC ID: 6507811148 Enrollment ID: I20050316001115 |
| Provider Name | Igor V Fishkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225108673 PECOS PAC ID: 5092761593 Enrollment ID: I20050328001119 |
| Provider Name | Olga Bauman-fishkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730274358 PECOS PAC ID: 2062468390 Enrollment ID: I20050329001261 |
| Provider Name | John C Wirth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861456105 PECOS PAC ID: 7416994298 Enrollment ID: I20050413000504 |
| Provider Name | Helena Addai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104946268 PECOS PAC ID: 8325085848 Enrollment ID: I20050414001350 |
| Provider Name | Scott N Nadel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700862620 PECOS PAC ID: 2668374232 Enrollment ID: I20050419000461 |
| Provider Name | Stephen Tsai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689638736 PECOS PAC ID: 0941249593 Enrollment ID: I20050503000402 |
| Provider Name | Vinh T Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841251493 PECOS PAC ID: 9739129990 Enrollment ID: I20050506000216 |
| Provider Name | Louis M Leyden |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205818820 PECOS PAC ID: 7517908585 Enrollment ID: I20050519000760 |
| Provider Name | Eddy Cadet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447302898 PECOS PAC ID: 8729020714 Enrollment ID: I20050601000089 |
| Provider Name | Gillian L Henry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376562017 PECOS PAC ID: 3870537715 Enrollment ID: I20050613000549 |
| Provider Name | Islande M Beaulieu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386740371 PECOS PAC ID: 3375589385 Enrollment ID: I20050629001224 |
| Provider Name | Yvonne W Lui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538116645 PECOS PAC ID: 2961439757 Enrollment ID: I20050723000070 |
| Provider Name | Joseph T Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659473379 PECOS PAC ID: 6608803242 Enrollment ID: I20050725001290 |
| Provider Name | Elisabeth F Mashinic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376682989 PECOS PAC ID: 7113957317 Enrollment ID: I20050817000659 |
| Provider Name | Chun Tung Wong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790759298 PECOS PAC ID: 9133159288 Enrollment ID: I20050817001174 |
| Provider Name | Nayaz Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184651747 PECOS PAC ID: 7416987334 Enrollment ID: I20050819000266 |
| Provider Name | Handel G White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407952047 PECOS PAC ID: 5193758795 Enrollment ID: I20050914000781 |
| Provider Name | Pura O Castillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558301143 PECOS PAC ID: 4587697719 Enrollment ID: I20050916000842 |
| Provider Name | Dongping Zhang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902828700 PECOS PAC ID: 6305861923 Enrollment ID: I20051012000432 |
| Provider Name | Edwin K Joe |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912980129 PECOS PAC ID: 6305803818 Enrollment ID: I20051014000189 |
| Provider Name | Cristiana G Pieroni |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861525313 PECOS PAC ID: 1759309990 Enrollment ID: I20051107000663 |
| Provider Name | Mohammad M Rahman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1063504033 PECOS PAC ID: 5496773319 Enrollment ID: I20051109000060 |
| Provider Name | Daniel B Firshein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043213309 PECOS PAC ID: 8224056213 Enrollment ID: I20051114000661 |
| Provider Name | Brigitte F Kerpsack |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396924601 PECOS PAC ID: 4587683016 Enrollment ID: I20051115000011 |
| Provider Name | Jaime E Inclan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932121084 PECOS PAC ID: 7012936180 Enrollment ID: I20051117000523 |
| Provider Name | Gina A Ciavarra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407891757 PECOS PAC ID: 0446270276 Enrollment ID: I20051123000039 |
| Provider Name | Deborah L Ottenheimer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679663678 PECOS PAC ID: 8224058367 Enrollment ID: I20051202000801 |
| Provider Name | Ron Maimon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033169537 PECOS PAC ID: 0840279980 Enrollment ID: I20051206000056 |
| Provider Name | Emanuela M Maciag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902806888 PECOS PAC ID: 9133140122 Enrollment ID: I20051219000453 |
| Provider Name | Anatole Sladen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124114517 PECOS PAC ID: 1254353626 Enrollment ID: I20051228000781 |
| Provider Name | Robert Santopietro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467482620 PECOS PAC ID: 5799708798 Enrollment ID: I20060105000086 |
| Provider Name | Ruoqing Huang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831159029 PECOS PAC ID: 3375557317 Enrollment ID: I20060130000633 |
| Provider Name | Qian Yu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144306481 PECOS PAC ID: 7315951134 Enrollment ID: I20060201000285 |
| Provider Name | George Cooper Collins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225061047 PECOS PAC ID: 1355357690 Enrollment ID: I20060224000011 |
| Provider Name | Eileen M Miles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003856030 PECOS PAC ID: 6204842420 Enrollment ID: I20060225000000 |
| Provider Name | Jennifer S Press |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043277296 PECOS PAC ID: 2860400900 Enrollment ID: I20060330000497 |
| Provider Name | Ravindra Amin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043304934 PECOS PAC ID: 3678581691 Enrollment ID: I20060331000484 |
| Provider Name | Gerda Florestal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528008216 PECOS PAC ID: 1951311463 Enrollment ID: I20060427000778 |
| Provider Name | Marie-pierre Castermans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952373516 PECOS PAC ID: 1456361831 Enrollment ID: I20060428000614 |
| Provider Name | William A Dinan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154438489 PECOS PAC ID: 2961412952 Enrollment ID: I20060504000891 |
| Provider Name | Edwin Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255371225 PECOS PAC ID: 2769493758 Enrollment ID: I20060504000977 |
| Provider Name | Deborah B Mcbane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487633442 PECOS PAC ID: 7214948413 Enrollment ID: I20060602000120 |
| Provider Name | Michael N Block |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750334967 PECOS PAC ID: 7911918099 Enrollment ID: I20060606000286 |
| Provider Name | Usha K Tandon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487691820 PECOS PAC ID: 9032120126 Enrollment ID: I20060607000041 |
| Provider Name | Patrick J Hammill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851341739 PECOS PAC ID: 0648282608 Enrollment ID: I20060613000116 |
| Provider Name | Richard W Schaedle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699738724 PECOS PAC ID: 4284646175 Enrollment ID: I20060614000059 |
| Provider Name | Alexander Vidershayn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053362319 PECOS PAC ID: 4183636020 Enrollment ID: I20060615000128 |
| Provider Name | Sharon R Barlizo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164473971 PECOS PAC ID: 8527062108 Enrollment ID: I20060913000375 |
| Provider Name | Mark Guelfguat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205873130 PECOS PAC ID: 5698770949 Enrollment ID: I20060920000451 |
| Provider Name | Sarah A Caraisco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184650996 PECOS PAC ID: 3072518125 Enrollment ID: I20060922000263 |
| Provider Name | Les H Chuang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356355937 PECOS PAC ID: 9234134313 Enrollment ID: I20060923000014 |
| Provider Name | Paul R Galstian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568576296 PECOS PAC ID: 2860499167 Enrollment ID: I20061031000112 |
| Provider Name | Selim W Khalil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295838589 PECOS PAC ID: 6204833429 Enrollment ID: I20061101000355 |
| Provider Name | Kevin V Tudor |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538195110 PECOS PAC ID: 6305843434 Enrollment ID: I20061101000555 |
| Provider Name | Hunter L Mcquistion |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790700912 PECOS PAC ID: 0941208615 Enrollment ID: I20061114000225 |
| Provider Name | Polina Gilchyonok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790719615 PECOS PAC ID: 6901804061 Enrollment ID: I20061128000189 |
| Provider Name | Leszek Pisinski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881705481 PECOS PAC ID: 9739187626 Enrollment ID: I20061202000053 |
| Provider Name | Carolyn Margaret Salafia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518075571 PECOS PAC ID: 5890794432 Enrollment ID: I20061209000056 |
| Provider Name | Moeen Din |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598712259 PECOS PAC ID: 4284651266 Enrollment ID: I20061218000573 |
| Provider Name | Salvacion R Bonete |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740380468 PECOS PAC ID: 8628089653 Enrollment ID: I20070124000544 |
| Provider Name | Nancy R Fefferman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679538490 PECOS PAC ID: 4981605276 Enrollment ID: I20070130000281 |
| Provider Name | Giovanna Giovanniello |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609830280 PECOS PAC ID: 2163423468 Enrollment ID: I20070130000291 |
| Provider Name | Barry S Leitman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003871088 PECOS PAC ID: 1951302256 Enrollment ID: I20070130000305 |
| Provider Name | Lynne Pinkney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689630550 PECOS PAC ID: 5799787487 Enrollment ID: I20070208000681 |
| Provider Name | Georgeann Mcguinness |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871558890 PECOS PAC ID: 8729080387 Enrollment ID: I20070209000631 |
| Provider Name | Jill E Jacobs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649235144 PECOS PAC ID: 1759383359 Enrollment ID: I20070212000197 |
| Provider Name | Aida F Awad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073683033 PECOS PAC ID: 5294837902 Enrollment ID: I20070227000604 |
| Provider Name | Nasreen Kabeer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154471480 PECOS PAC ID: 4486757507 Enrollment ID: I20070310000043 |
| Provider Name | Malka B Finkelstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306939541 PECOS PAC ID: 0941303721 Enrollment ID: I20070315000287 |
| Provider Name | Diana Chen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104848381 PECOS PAC ID: 1052414729 Enrollment ID: I20070319000118 |
| Provider Name | Reesheman G Cowart |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013097286 PECOS PAC ID: 9335243807 Enrollment ID: I20070323000072 |
| Provider Name | Yuen Ling E Ho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679530927 PECOS PAC ID: 6800990821 Enrollment ID: I20070402000272 |
| Provider Name | Holly E Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346328382 PECOS PAC ID: 6901900802 Enrollment ID: I20070403000187 |
| Provider Name | Wendy L Barron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245258367 PECOS PAC ID: 2163526005 Enrollment ID: I20070418000557 |
| Provider Name | Rajiv R Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326036559 PECOS PAC ID: 6204835648 Enrollment ID: I20070501000393 |
| Provider Name | Robert S Reader |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366449217 PECOS PAC ID: 0840396883 Enrollment ID: I20070508000210 |
| Provider Name | Edward M Bailin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336177039 PECOS PAC ID: 6406952464 Enrollment ID: I20070508000383 |
| Provider Name | Julian W Sanchez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477613032 PECOS PAC ID: 4587762364 Enrollment ID: I20070601000036 |
| Provider Name | Diane Ferran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942367784 PECOS PAC ID: 6103924188 Enrollment ID: I20070614000648 |
| Provider Name | Anthony R Iorio |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1821105966 PECOS PAC ID: 9537125455 Enrollment ID: I20070622000479 |
| Provider Name | Christin Montalbano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093700510 PECOS PAC ID: 8729188321 Enrollment ID: I20070711000935 |
| Provider Name | Marc K Wallack |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679650683 PECOS PAC ID: 7416851696 Enrollment ID: I20070712000649 |
| Provider Name | Wayne P Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609951136 PECOS PAC ID: 1658471057 Enrollment ID: I20070714000055 |
| Provider Name | Cathleen C Heffernan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164558292 PECOS PAC ID: 7810098225 Enrollment ID: I20070728000094 |
| Provider Name | Tze-jung Su |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306932017 PECOS PAC ID: 5395836670 Enrollment ID: I20070801000639 |
| Provider Name | Alex B Maderazo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508085523 PECOS PAC ID: 3274624481 Enrollment ID: I20070802000105 |
| Provider Name | Sooah Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285835249 PECOS PAC ID: 5294826996 Enrollment ID: I20070809000701 |
| Provider Name | Nicole M Hindman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972574549 PECOS PAC ID: 4981795408 Enrollment ID: I20070813000067 |
| Provider Name | Rob Caldwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144263369 PECOS PAC ID: 2163513599 Enrollment ID: I20070814000344 |
| Provider Name | Carolyn B Farhie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083818066 PECOS PAC ID: 2961594445 Enrollment ID: I20070829000094 |
| Provider Name | Wendy C Wilcox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376623835 PECOS PAC ID: 6406949148 Enrollment ID: I20070911000489 |
| Provider Name | Gene Y Berkovich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225054778 PECOS PAC ID: 6002901774 Enrollment ID: I20070927000000 |
| Provider Name | Robert M Friedman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356434534 PECOS PAC ID: 5092802975 Enrollment ID: I20071025000275 |
| Provider Name | Joseph P Mazzie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013138825 PECOS PAC ID: 9133211469 Enrollment ID: I20071128000629 |
| Provider Name | Asvinkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326137019 PECOS PAC ID: 3779673728 Enrollment ID: I20071214000371 |
| Provider Name | Andrea N Cotler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205039674 PECOS PAC ID: 2264512391 Enrollment ID: I20080102000412 |
| Provider Name | Realino N Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225111628 PECOS PAC ID: 9032290853 Enrollment ID: I20080118000197 |
| Provider Name | Chrystia M Slywotzky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174589071 PECOS PAC ID: 8325121452 Enrollment ID: I20080213000415 |
| Provider Name | Aziz A Soomro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891974945 PECOS PAC ID: 5395828420 Enrollment ID: I20080213000434 |
| Provider Name | Ngozi Nwankpa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093930075 PECOS PAC ID: 9739263278 Enrollment ID: I20080222000310 |
| Provider Name | Aileen M Langston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588684195 PECOS PAC ID: 2466536685 Enrollment ID: I20080227000310 |
| Provider Name | Celia Purugganan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609912583 PECOS PAC ID: 5890879878 Enrollment ID: I20080229000085 |
| Provider Name | Aziz S Amin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225156763 PECOS PAC ID: 4486739075 Enrollment ID: I20080306000391 |
| Provider Name | Andrea M Snyder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932269677 PECOS PAC ID: 2769568369 Enrollment ID: I20080324000431 |
| Provider Name | Kenneth Ong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922098284 PECOS PAC ID: 5395821128 Enrollment ID: I20080325000475 |
| Provider Name | Peter J Tesler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154322543 PECOS PAC ID: 5597793729 Enrollment ID: I20080401000416 |
| Provider Name | Indrani Persaud Umadat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356426795 PECOS PAC ID: 2163509506 Enrollment ID: I20080409000243 |
| Provider Name | Lisel M Hope |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508835711 PECOS PAC ID: 0143307272 Enrollment ID: I20080414000296 |
| Provider Name | Kelly K Ly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801914742 PECOS PAC ID: 5496846859 Enrollment ID: I20080417000630 |
| Provider Name | Jane P Ko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447215843 PECOS PAC ID: 8820176050 Enrollment ID: I20080429000045 |
| Provider Name | Radica West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801010871 PECOS PAC ID: 2668541749 Enrollment ID: I20080515000107 |
| Provider Name | Robert D Holland |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609044890 PECOS PAC ID: 9830269257 Enrollment ID: I20080528000263 |
| Provider Name | Mari Hagiwara |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194935221 PECOS PAC ID: 7810067279 Enrollment ID: I20080528000647 |
| Provider Name | Douglas A Landy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104893494 PECOS PAC ID: 2062582273 Enrollment ID: I20080530000388 |
| Provider Name | Joseph V Arampulikan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164634408 PECOS PAC ID: 2961572052 Enrollment ID: I20080602000235 |
| Provider Name | Laurence E Dopkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033299003 PECOS PAC ID: 7416029939 Enrollment ID: I20080627000489 |
| Provider Name | Svetlana Shteynman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881853844 PECOS PAC ID: 2062584824 Enrollment ID: I20080710000623 |
| Provider Name | Stephen C Ward |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063688778 PECOS PAC ID: 7517039225 Enrollment ID: I20080711000230 |
| Provider Name | Steven Pulitzer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154515294 PECOS PAC ID: 0446348999 Enrollment ID: I20080802000011 |
| Provider Name | Melissa B Rutkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750310876 PECOS PAC ID: 6305911165 Enrollment ID: I20080814000010 |
| Provider Name | Fritz E Jean-gilles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033121751 PECOS PAC ID: 0840366472 Enrollment ID: I20080905000372 |
| Provider Name | Jahanguir Yaghoobian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639258882 PECOS PAC ID: 5698841997 Enrollment ID: I20080911000046 |
| Provider Name | Nathaniel L Yao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104083575 PECOS PAC ID: 7315013471 Enrollment ID: I20080915000126 |
| Provider Name | Radoslav Toshkoff |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063697027 PECOS PAC ID: 1658448857 Enrollment ID: I20080930000002 |
| Provider Name | Helen B Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881735397 PECOS PAC ID: 1153343124 Enrollment ID: I20081003000263 |
| Provider Name | Kim A Rothschild |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1932275377 PECOS PAC ID: 4284792938 Enrollment ID: I20081023000720 |
| Provider Name | Muthukumar Muthusamy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417967746 PECOS PAC ID: 1658439369 Enrollment ID: I20081024000401 |
| Provider Name | Eddie S Go |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568463545 PECOS PAC ID: 1850450982 Enrollment ID: I20081104000803 |
| Provider Name | Gunanand Persaud |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396740270 PECOS PAC ID: 4880753730 Enrollment ID: I20081106000333 |
| Provider Name | Menachem M Gold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528223526 PECOS PAC ID: 5496816746 Enrollment ID: I20081205000275 |
| Provider Name | Naomi A Strubel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093771826 PECOS PAC ID: 2062574361 Enrollment ID: I20081222000004 |
| Provider Name | Michelle L Widlitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467598839 PECOS PAC ID: 3173556784 Enrollment ID: I20081229000005 |
| Provider Name | Fakhrun N Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649204769 PECOS PAC ID: 9931262672 Enrollment ID: I20090107000294 |
| Provider Name | Georges J Casimir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295949741 PECOS PAC ID: 2860555125 Enrollment ID: I20090113000243 |
| Provider Name | Richard S Zupcak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831229822 PECOS PAC ID: 5597829358 Enrollment ID: I20090123000190 |
| Provider Name | Moniquia L Fisher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770729071 PECOS PAC ID: 5698839389 Enrollment ID: I20090123000564 |
| Provider Name | Salwa M Gerges |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1336109701 PECOS PAC ID: 3971669003 Enrollment ID: I20090225000557 |
| Provider Name | Mitchell I Horowitz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437155728 PECOS PAC ID: 7911063482 Enrollment ID: I20090309000069 |
| Provider Name | Laura H Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497712244 PECOS PAC ID: 0749346047 Enrollment ID: I20090312000237 |
| Provider Name | Bruce E Petersen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952564163 PECOS PAC ID: 7214094259 Enrollment ID: I20090319000101 |
| Provider Name | Christina M Coyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366573818 PECOS PAC ID: 6800953217 Enrollment ID: I20090328000005 |
| Provider Name | Simonetta Sambataro |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376564708 PECOS PAC ID: 5092862052 Enrollment ID: I20090408000218 |
| Provider Name | Muhammad Billah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427132752 PECOS PAC ID: 1355490632 Enrollment ID: I20090515000118 |
| Provider Name | Natalie Maryanovsky-zelenko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871770057 PECOS PAC ID: 0648329813 Enrollment ID: I20090518000446 |
| Provider Name | Frances W Quee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205923059 PECOS PAC ID: 2769531888 Enrollment ID: I20090520000480 |
| Provider Name | Seth I Darkey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881809135 PECOS PAC ID: 4587713466 Enrollment ID: I20090526000114 |
| Provider Name | Stephanie L Gordienko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912019407 PECOS PAC ID: 6002966504 Enrollment ID: I20090603000521 |
| Provider Name | Hamid Gilak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881745834 PECOS PAC ID: 4082764220 Enrollment ID: I20090610000472 |
| Provider Name | Ademola A Ladapo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932392255 PECOS PAC ID: 3577613595 Enrollment ID: I20090615000100 |
| Provider Name | Andrew B Rosenkrantz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295868610 PECOS PAC ID: 4082764998 Enrollment ID: I20090616000390 |
| Provider Name | Sonia M Cabrera-quezada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255421244 PECOS PAC ID: 0244381788 Enrollment ID: I20090624000205 |
| Provider Name | Gregory Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881892883 PECOS PAC ID: 3678625431 Enrollment ID: I20090709000278 |
| Provider Name | Amit K Bansal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861665432 PECOS PAC ID: 9537213574 Enrollment ID: I20090811000180 |
| Provider Name | John Lupoli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083817126 PECOS PAC ID: 9739233784 Enrollment ID: I20090811000239 |
| Provider Name | Hildegard Kanamuller Toth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184681140 PECOS PAC ID: 2466507074 Enrollment ID: I20090903000447 |
| Provider Name | Jonathan Foster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093909483 PECOS PAC ID: 9537242755 Enrollment ID: I20090915000511 |
| Provider Name | Monica Kapoor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619150737 PECOS PAC ID: 7911053798 Enrollment ID: I20090919000033 |
| Provider Name | Ellen B Wetter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881612448 PECOS PAC ID: 4486790714 Enrollment ID: I20090930000138 |
| Provider Name | Mary Spinelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871623363 PECOS PAC ID: 9830235191 Enrollment ID: I20090930000469 |
| Provider Name | Woong K Paik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700034378 PECOS PAC ID: 0840336319 Enrollment ID: I20091014000293 |
| Provider Name | David H John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194741819 PECOS PAC ID: 3971640475 Enrollment ID: I20091031000061 |
| Provider Name | Rhodora C Yap |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619043171 PECOS PAC ID: 5193863389 Enrollment ID: I20091109000323 |
| Provider Name | Lorena Grullon-figueroa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437316866 PECOS PAC ID: 7517006380 Enrollment ID: I20091208000473 |
| Provider Name | Azad M Kalam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538136346 PECOS PAC ID: 7911894746 Enrollment ID: I20091210000172 |
| Provider Name | Beatriu Reig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114048055 PECOS PAC ID: 3274674684 Enrollment ID: I20100107000456 |
| Provider Name | Muhammad A Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811125339 PECOS PAC ID: 4688716582 Enrollment ID: I20100114000663 |
| Provider Name | Shailee V Lala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265657878 PECOS PAC ID: 3274675517 Enrollment ID: I20100125000196 |
| Provider Name | Nadine Finlayson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144424037 PECOS PAC ID: 0446392666 Enrollment ID: I20100126000222 |
| Provider Name | Marc J Federbusch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376515833 PECOS PAC ID: 2163565763 Enrollment ID: I20100204000505 |
| Provider Name | Chaudhry Ms Ghumman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568536688 PECOS PAC ID: 1052455979 Enrollment ID: I20100216000608 |
| Provider Name | Chin H Yu Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922111954 PECOS PAC ID: 9032253224 Enrollment ID: I20100226000009 |
| Provider Name | Belkis J Vizcaino Reyes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639256035 PECOS PAC ID: 1052456316 Enrollment ID: I20100311000241 |
| Provider Name | Wai Tung Wu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598095119 PECOS PAC ID: 1759416787 Enrollment ID: I20100316000926 |
| Provider Name | Beena Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104813054 PECOS PAC ID: 2860527686 Enrollment ID: I20100318000725 |
| Provider Name | James T Goodrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669402855 PECOS PAC ID: 7911032362 Enrollment ID: I20100324000304 |
| Provider Name | Richard Cohen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841261963 PECOS PAC ID: 6608902747 Enrollment ID: I20100329000543 |
| Provider Name | Melanie Anne Maclennan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619176955 PECOS PAC ID: 0840357448 Enrollment ID: I20100329000642 |
| Provider Name | Sherry Humphrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629226667 PECOS PAC ID: 8729117882 Enrollment ID: I20100527000545 |
| Provider Name | Roy Varghese |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649424334 PECOS PAC ID: 4981733078 Enrollment ID: I20100528000065 |
| Provider Name | Howard Gould |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346316148 PECOS PAC ID: 5890743801 Enrollment ID: I20100602000789 |
| Provider Name | Robert J Mishkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013009018 PECOS PAC ID: 6800947607 Enrollment ID: I20100614000694 |
| Provider Name | Neesha Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134389620 PECOS PAC ID: 0042340929 Enrollment ID: I20100621000243 |
| Provider Name | Ahsan Nazir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477543502 PECOS PAC ID: 0941229710 Enrollment ID: I20100626000206 |
| Provider Name | Aycan Turkmen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639199953 PECOS PAC ID: 8325107246 Enrollment ID: I20100626000212 |
| Provider Name | Chun Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710102231 PECOS PAC ID: 2769513076 Enrollment ID: I20100701000023 |
| Provider Name | Maria Pablo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508963752 PECOS PAC ID: 6507998523 Enrollment ID: I20100709000415 |
| Provider Name | Soterios Gyftopoulos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356667695 PECOS PAC ID: 4082746904 Enrollment ID: I20100713000129 |
| Provider Name | Aaron P Schulman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275792194 PECOS PAC ID: 6507999588 Enrollment ID: I20100727000959 |
| Provider Name | Amiram Samin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790761807 PECOS PAC ID: 5597898379 Enrollment ID: I20100730000169 |
| Provider Name | Lisa Y Lee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114003324 PECOS PAC ID: 0244363737 Enrollment ID: I20100804000825 |
| Provider Name | Alexander T Vinzons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851465181 PECOS PAC ID: 8022141225 Enrollment ID: I20100809000081 |
| Provider Name | Michael O Agyeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427377761 PECOS PAC ID: 4688708548 Enrollment ID: I20100813000262 |
| Provider Name | Tamara V Petrosyan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043447220 PECOS PAC ID: 6800920554 Enrollment ID: I20100817000253 |
| Provider Name | Alexander Kolessa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902009459 PECOS PAC ID: 5890829352 Enrollment ID: I20100819000209 |
| Provider Name | Robert D Engel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962503003 PECOS PAC ID: 7113051491 Enrollment ID: I20100823000764 |
| Provider Name | James J Anarella |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952378267 PECOS PAC ID: 4981781390 Enrollment ID: I20100830000653 |
| Provider Name | Gloria Rubin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942229737 PECOS PAC ID: 4486778883 Enrollment ID: I20100907000652 |
| Provider Name | Vinodkumar E Velayudhan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639304165 PECOS PAC ID: 9234321597 Enrollment ID: I20101006000081 |
| Provider Name | James Austin Schmidtberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023034287 PECOS PAC ID: 6901098789 Enrollment ID: I20101012000771 |
| Provider Name | Julia Po |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962608380 PECOS PAC ID: 9931392594 Enrollment ID: I20101015000390 |
| Provider Name | Sai S One |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770756108 PECOS PAC ID: 1759574213 Enrollment ID: I20101018000505 |
| Provider Name | John J Degliuomini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437206174 PECOS PAC ID: 7012100167 Enrollment ID: I20101021000076 |
| Provider Name | Sharon M. Robles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154340933 PECOS PAC ID: 8628261351 Enrollment ID: I20101026000516 |
| Provider Name | Fontine Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093730335 PECOS PAC ID: 9931393626 Enrollment ID: I20101026001448 |
| Provider Name | Alfred A Garofalo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174588446 PECOS PAC ID: 8729272422 Enrollment ID: I20101026001495 |
| Provider Name | Selina Siu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114974722 PECOS PAC ID: 7719171313 Enrollment ID: I20101027001210 |
| Provider Name | Hector Ramirez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407879067 PECOS PAC ID: 9931393576 Enrollment ID: I20101028000105 |
| Provider Name | Mark S Nachamie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326035205 PECOS PAC ID: 4587858360 Enrollment ID: I20101105000452 |
| Provider Name | Kathleen Hanley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295769719 PECOS PAC ID: 0244425080 Enrollment ID: I20101106000004 |
| Provider Name | Ruby M Ko |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992732275 PECOS PAC ID: 8729092432 Enrollment ID: I20101112001169 |
| Provider Name | Sondra R Zabar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376569301 PECOS PAC ID: 9133314339 Enrollment ID: I20101113000068 |
| Provider Name | Glenis A Strachan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538120001 PECOS PAC ID: 4082800917 Enrollment ID: I20101118000149 |
| Provider Name | Talya R Toledano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760702047 PECOS PAC ID: 5991991762 Enrollment ID: I20101119000541 |
| Provider Name | David Akman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881791119 PECOS PAC ID: 3072709641 Enrollment ID: I20101122000429 |
| Provider Name | Evan G Stein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336323831 PECOS PAC ID: 7719174580 Enrollment ID: I20101206000491 |
| Provider Name | Chloe M Chhor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427176494 PECOS PAC ID: 2567523426 Enrollment ID: I20101214000904 |
| Provider Name | Renata La Rocca Vieira |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114245016 PECOS PAC ID: 6901094556 Enrollment ID: I20101222001013 |
| Provider Name | Michael S Goldberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275640930 PECOS PAC ID: 1850580952 Enrollment ID: I20110105000393 |
| Provider Name | Alla Soroka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477762250 PECOS PAC ID: 0941499057 Enrollment ID: I20110105000538 |
| Provider Name | Mark S Wielgus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295045706 PECOS PAC ID: 6800085929 Enrollment ID: I20110105000614 |
| Provider Name | Rita Santana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821061011 PECOS PAC ID: 3072702034 Enrollment ID: I20110106001016 |
| Provider Name | Artemio Camacho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972649168 PECOS PAC ID: 5890984751 Enrollment ID: I20110106001147 |
| Provider Name | Natalia Raykhman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831272293 PECOS PAC ID: 2769671379 Enrollment ID: I20110113000423 |
| Provider Name | Diana Teytelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568671345 PECOS PAC ID: 0749479210 Enrollment ID: I20110113001244 |
| Provider Name | Joseph Rapuano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750588588 PECOS PAC ID: 1153359732 Enrollment ID: I20110124000854 |
| Provider Name | Girish M Fatterpekar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194987982 PECOS PAC ID: 4183803778 Enrollment ID: I20110128000273 |
| Provider Name | Greer Comanducci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104127166 PECOS PAC ID: 8921287533 Enrollment ID: I20110128000499 |
| Provider Name | Swarupa R Gaddipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114981909 PECOS PAC ID: 8729267281 Enrollment ID: I20110131000026 |
| Provider Name | Fatima Barbosa-hertz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972787299 PECOS PAC ID: 6406036607 Enrollment ID: I20110204000612 |
| Provider Name | Nikia S Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033364484 PECOS PAC ID: 5597945584 Enrollment ID: I20110208000873 |
| Provider Name | Adedayo A Ojo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992022651 PECOS PAC ID: 4789865122 Enrollment ID: I20110218000245 |
| Provider Name | Khoi Q Luong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780913459 PECOS PAC ID: 6002097334 Enrollment ID: I20110221000283 |
| Provider Name | Abdulquader Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013146216 PECOS PAC ID: 2163603044 Enrollment ID: I20110225000044 |
| Provider Name | Wayne V Gulston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578611836 PECOS PAC ID: 3375724297 Enrollment ID: I20110225000503 |
| Provider Name | Alla Y Shigol |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073542643 PECOS PAC ID: 6204017940 Enrollment ID: I20110301000118 |
| Provider Name | Rufing Santos Binlayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467550202 PECOS PAC ID: 0840471421 Enrollment ID: I20110302000597 |
| Provider Name | Ghazala Arshad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073691424 PECOS PAC ID: 3173704756 Enrollment ID: I20110302000657 |
| Provider Name | Marie A Tse-valcin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649313685 PECOS PAC ID: 1850573213 Enrollment ID: I20110308000034 |
| Provider Name | Veronica Christopoulos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235282781 PECOS PAC ID: 2769664028 Enrollment ID: I20110308000167 |
| Provider Name | Margaret Goni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750564324 PECOS PAC ID: 5698957421 Enrollment ID: I20110315000561 |
| Provider Name | Chioma Lazz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285672709 PECOS PAC ID: 5193907954 Enrollment ID: I20110315000886 |
| Provider Name | Dewan Duan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366431389 PECOS PAC ID: 5294917977 Enrollment ID: I20110317000126 |
| Provider Name | Mark R Shafer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780642702 PECOS PAC ID: 2365624756 Enrollment ID: I20110329000575 |
| Provider Name | Shashi K Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114118304 PECOS PAC ID: 7012190952 Enrollment ID: I20110330000381 |
| Provider Name | Thomas T Elliott |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1639222011 PECOS PAC ID: 5597948455 Enrollment ID: I20110330000713 |
| Provider Name | Onuorah C Ibeabuchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023161056 PECOS PAC ID: 6709821879 Enrollment ID: I20110331000045 |
| Provider Name | Deep Lohia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972820314 PECOS PAC ID: 8426231275 Enrollment ID: I20110331000757 |
| Provider Name | Mario S Malonzo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144424862 PECOS PAC ID: 2163605403 Enrollment ID: I20110401000442 |
| Provider Name | Maqsoodur Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033245238 PECOS PAC ID: 4284818063 Enrollment ID: I20110404000501 |
| Provider Name | Suneetha Natarajan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821181033 PECOS PAC ID: 4486838752 Enrollment ID: I20110411000692 |
| Provider Name | Leslie E Joyner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740338326 PECOS PAC ID: 0547444853 Enrollment ID: I20110412000255 |
| Provider Name | Robert P Devita |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902957624 PECOS PAC ID: 3173707346 Enrollment ID: I20110413000015 |
| Provider Name | Marcos A Rampelotto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922162254 PECOS PAC ID: 0143221564 Enrollment ID: I20110421000050 |
| Provider Name | Sallye R Granberry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912095399 PECOS PAC ID: 3072798701 Enrollment ID: I20110425000103 |
| Provider Name | Luis B Fernandez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881797686 PECOS PAC ID: 8426233081 Enrollment ID: I20110425000476 |
| Provider Name | Goldy L Pascal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730386038 PECOS PAC ID: 8022293638 Enrollment ID: I20110426000186 |
| Provider Name | Elaine Friedlander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053479519 PECOS PAC ID: 8729263363 Enrollment ID: I20110426000577 |
| Provider Name | Sara G Brubaker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306979067 PECOS PAC ID: 8729138151 Enrollment ID: I20110502000402 |
| Provider Name | Hyeran Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497829782 PECOS PAC ID: 6406031400 Enrollment ID: I20110505000649 |
| Provider Name | Dorian Roye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497838775 PECOS PAC ID: 9537344544 Enrollment ID: I20110505000718 |
| Provider Name | Tewodros Kiros |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356426100 PECOS PAC ID: 9335325067 Enrollment ID: I20110516000042 |
| Provider Name | Jie Huang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790909364 PECOS PAC ID: 8628101672 Enrollment ID: I20110518000108 |
| Provider Name | Kristine J Pysarenko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649465212 PECOS PAC ID: 2769669191 Enrollment ID: I20110610000466 |
| Provider Name | Gideon E Katz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700182904 PECOS PAC ID: 7214115815 Enrollment ID: I20110630000312 |
| Provider Name | Varughese P Chacko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467569053 PECOS PAC ID: 5890973242 Enrollment ID: I20110713000099 |
| Provider Name | Justin Loona |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316244213 PECOS PAC ID: 1456529718 Enrollment ID: I20110713000206 |
| Provider Name | Alfonzo Owens |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497833347 PECOS PAC ID: 6305014424 Enrollment ID: I20110715000389 |
| Provider Name | Notcher A Amarteifio |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1023197829 PECOS PAC ID: 0547438681 Enrollment ID: I20110718000019 |
| Provider Name | Silvestre O Baez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1720147929 PECOS PAC ID: 9436327574 Enrollment ID: I20110718000038 |
| Provider Name | Hasna W Ansari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528277068 PECOS PAC ID: 2961671755 Enrollment ID: I20110812000065 |
| Provider Name | Jamie Baux Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760705719 PECOS PAC ID: 1658540331 Enrollment ID: I20110815000455 |
| Provider Name | Lina M Villegas Pelaez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508025750 PECOS PAC ID: 5991975112 Enrollment ID: I20110826000005 |
| Provider Name | Nelly M Maseda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063410041 PECOS PAC ID: 7618147646 Enrollment ID: I20110831000369 |
| Provider Name | Jeffrey B Alpert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861674582 PECOS PAC ID: 7517130461 Enrollment ID: I20111109000562 |
| Provider Name | Abul B Shahidullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063481778 PECOS PAC ID: 6305010224 Enrollment ID: I20111110000629 |
| Provider Name | Kevia L Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912297367 PECOS PAC ID: 1153596523 Enrollment ID: I20111213000830 |
| Provider Name | David M. Krumholz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124028402 PECOS PAC ID: 5395911473 Enrollment ID: I20111221000224 |
| Provider Name | Kenneth E Fleisher |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1275612970 PECOS PAC ID: 8527234327 Enrollment ID: I20111228000620 |
| Provider Name | Winifred O Egbuna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356499875 PECOS PAC ID: 8628016524 Enrollment ID: I20120203000069 |
| Provider Name | Oskar Salamon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578655304 PECOS PAC ID: 6901081934 Enrollment ID: I20120206000424 |
| Provider Name | Robert Andrews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619014149 PECOS PAC ID: 6103083530 Enrollment ID: I20120213000531 |
| Provider Name | Ivan Gonzalez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568442838 PECOS PAC ID: 6305020306 Enrollment ID: I20120302000306 |
| Provider Name | James F Kelly |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033364476 PECOS PAC ID: 0547429979 Enrollment ID: I20120305000414 |
| Provider Name | Nausheen Grimm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407025604 PECOS PAC ID: 6406015361 Enrollment ID: I20120313000108 |
| Provider Name | Yesenia Camacho |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518299783 PECOS PAC ID: 2163682030 Enrollment ID: I20120330000084 |
| Provider Name | Anna M Pitts White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063502854 PECOS PAC ID: 2860653219 Enrollment ID: I20120412000259 |
| Provider Name | Basilisa H Canto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659471373 PECOS PAC ID: 9638332588 Enrollment ID: I20120514000157 |
| Provider Name | Elve E Laborde |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194960351 PECOS PAC ID: 4082763537 Enrollment ID: I20120601000094 |
| Provider Name | Benjamin Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669679544 PECOS PAC ID: 1254518475 Enrollment ID: I20120622000195 |
| Provider Name | Ma Riza Ellonwy Lising |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629224035 PECOS PAC ID: 1658536768 Enrollment ID: I20120622000203 |
| Provider Name | Yovan Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265795157 PECOS PAC ID: 4486810306 Enrollment ID: I20120723000117 |
| Provider Name | Bibitha Panicker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083971998 PECOS PAC ID: 0547426272 Enrollment ID: I20120725000514 |
| Provider Name | Camila Passias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558505107 PECOS PAC ID: 3173789559 Enrollment ID: I20120731000032 |
| Provider Name | Aida G Nuguid |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174678064 PECOS PAC ID: 8224294582 Enrollment ID: I20120801000018 |
| Provider Name | Hebert Alberto Vargas Alvarez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740584440 PECOS PAC ID: 7911153259 Enrollment ID: I20120802000088 |
| Provider Name | Timothy M Shepherd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427108737 PECOS PAC ID: 9133382153 Enrollment ID: I20120806000099 |
| Provider Name | Penelope Tan Woo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477659704 PECOS PAC ID: 1850548264 Enrollment ID: I20120820000885 |
| Provider Name | Shoshana Marmon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922327527 PECOS PAC ID: 1254588064 Enrollment ID: I20120830000356 |
| Provider Name | Sandy Marie Weekes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316221237 PECOS PAC ID: 6406003045 Enrollment ID: I20120904000404 |
| Provider Name | Lisa Saraydarian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568531788 PECOS PAC ID: 4789832015 Enrollment ID: I20120912000158 |
| Provider Name | Puja D Mehta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932477049 PECOS PAC ID: 4183871130 Enrollment ID: I20120919000092 |
| Provider Name | Susan D Gottlieb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952363988 PECOS PAC ID: 4082863899 Enrollment ID: I20121010000303 |
| Provider Name | Bharathi Cheruvanky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861502874 PECOS PAC ID: 2961687454 Enrollment ID: I20130103000084 |
| Provider Name | Vicky A Prater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841433505 PECOS PAC ID: 3072766773 Enrollment ID: I20130109000009 |
| Provider Name | Peter K Davidson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750346177 PECOS PAC ID: 6204009012 Enrollment ID: I20130129000113 |
| Provider Name | Sharon Y Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073882494 PECOS PAC ID: 3072767532 Enrollment ID: I20130208000306 |
| Provider Name | Fadi El Salem |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982963831 PECOS PAC ID: 5890940068 Enrollment ID: I20130220000237 |
| Provider Name | Melissa J Couvillion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467764357 PECOS PAC ID: 2062667587 Enrollment ID: I20130306000225 |
| Provider Name | Everick Narcy Ayala Bustamante |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114265766 PECOS PAC ID: 5890930390 Enrollment ID: I20130404000529 |
| Provider Name | Manonmani Arul |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578756011 PECOS PAC ID: 4183860554 Enrollment ID: I20130410000273 |
| Provider Name | Pik Sai Yung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437303930 PECOS PAC ID: 9830335066 Enrollment ID: I20130413000104 |
| Provider Name | Francesco M Serafini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093046229 PECOS PAC ID: 8325223910 Enrollment ID: I20130611000414 |
| Provider Name | Kirk O Mcfarlene |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841538899 PECOS PAC ID: 7012158314 Enrollment ID: I20130730000203 |
| Provider Name | Stella K Kang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659545234 PECOS PAC ID: 4183889678 Enrollment ID: I20130805000126 |
| Provider Name | Salma Afroze |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912109604 PECOS PAC ID: 4284721895 Enrollment ID: I20130808000117 |
| Provider Name | Tonda S Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154624138 PECOS PAC ID: 0749422335 Enrollment ID: I20130812000015 |
| Provider Name | Andrei Y Nagorny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649473190 PECOS PAC ID: 5395988026 Enrollment ID: I20130828000857 |
| Provider Name | Sandra Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346437043 PECOS PAC ID: 1052554383 Enrollment ID: I20130905000283 |
| Provider Name | Xiaojue Hu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386935997 PECOS PAC ID: 8628212537 Enrollment ID: I20130916000405 |
| Provider Name | Yvonne M Choi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144383720 PECOS PAC ID: 1254575574 Enrollment ID: I20130926000132 |
| Provider Name | Khrishna P Shanbhogue |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770722050 PECOS PAC ID: 5597822981 Enrollment ID: I20130930000028 |
| Provider Name | Rajan Jain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396813036 PECOS PAC ID: 5597652669 Enrollment ID: I20131002000661 |
| Provider Name | Caroline L Budasoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801169024 PECOS PAC ID: 4486888534 Enrollment ID: I20131004000051 |
| Provider Name | Vincent M Santillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588982961 PECOS PAC ID: 9133353618 Enrollment ID: I20131016001588 |
| Provider Name | Anna Shmukler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427210095 PECOS PAC ID: 3173758372 Enrollment ID: I20131024000060 |
| Provider Name | Jessica K Rosenblum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093098725 PECOS PAC ID: 1052546017 Enrollment ID: I20131028001817 |
| Provider Name | Julia A Akkerman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811213655 PECOS PAC ID: 8527293323 Enrollment ID: I20131104000553 |
| Provider Name | Nadine Atalla |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205277050 PECOS PAC ID: 2567699952 Enrollment ID: I20131210001016 |
| Provider Name | Michelle S Kanaley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215131271 PECOS PAC ID: 4082841366 Enrollment ID: I20131211001560 |
| Provider Name | Lev Y Bangiyev |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215007323 PECOS PAC ID: 1052493087 Enrollment ID: I20131212000805 |
| Provider Name | Ihab I Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083876809 PECOS PAC ID: 9638308240 Enrollment ID: I20140130001759 |
| Provider Name | Oreoluwa O Ojutiku |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104004605 PECOS PAC ID: 3870645369 Enrollment ID: I20140325000166 |
| Provider Name | Peter Iucciolino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669803219 PECOS PAC ID: 7113158411 Enrollment ID: I20140331001266 |
| Provider Name | Urszula S Kopec |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679888036 PECOS PAC ID: 2567693617 Enrollment ID: I20140402002119 |
| Provider Name | Magdalena A Zavala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033412614 PECOS PAC ID: 9739310889 Enrollment ID: I20140402002149 |
| Provider Name | Ankur Mukund Doshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720240732 PECOS PAC ID: 2163655002 Enrollment ID: I20140430001919 |
| Provider Name | Sung Hee Kam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447674312 PECOS PAC ID: 9931322260 Enrollment ID: I20140514000396 |
| Provider Name | Raquel N Choua |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528385796 PECOS PAC ID: 3779706403 Enrollment ID: I20140527000193 |
| Provider Name | Teresa Polito |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508156142 PECOS PAC ID: 0840413571 Enrollment ID: I20140527000253 |
| Provider Name | Alon Kol |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932548922 PECOS PAC ID: 8921221615 Enrollment ID: I20140528000099 |
| Provider Name | Roy A Raad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588912711 PECOS PAC ID: 1254555121 Enrollment ID: I20140616001031 |
| Provider Name | Rahshon Muhammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194148650 PECOS PAC ID: 5193949964 Enrollment ID: I20140617002330 |
| Provider Name | William L Yu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154525921 PECOS PAC ID: 1759505373 Enrollment ID: I20140620001168 |
| Provider Name | Yiming Gao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942460555 PECOS PAC ID: 0840432357 Enrollment ID: I20140623000569 |
| Provider Name | Alejandra Durango |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124221155 PECOS PAC ID: 3971728429 Enrollment ID: I20140626000169 |
| Provider Name | Urick Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780970434 PECOS PAC ID: 5991920282 Enrollment ID: I20140630000434 |
| Provider Name | Claudia J Alvarado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093003873 PECOS PAC ID: 6103041231 Enrollment ID: I20140707000030 |
| Provider Name | Yuanli Duan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790066116 PECOS PAC ID: 1355566084 Enrollment ID: I20140712000059 |
| Provider Name | Rebecca S Rio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558516815 PECOS PAC ID: 7113142845 Enrollment ID: I20140714000037 |
| Provider Name | Brandon Boyd Johnson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386806693 PECOS PAC ID: 9830347848 Enrollment ID: I20140722000517 |
| Provider Name | Hiwot Woldu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386886992 PECOS PAC ID: 9537385851 Enrollment ID: I20140723000635 |
| Provider Name | Matthew G Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427361856 PECOS PAC ID: 2860619293 Enrollment ID: I20140808000788 |
| Provider Name | Alexander Filatov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962662783 PECOS PAC ID: 1355568395 Enrollment ID: I20140814001284 |
| Provider Name | Allison M Borowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366680514 PECOS PAC ID: 4183853674 Enrollment ID: I20140929000731 |
| Provider Name | Irina Powers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770736688 PECOS PAC ID: 9234350737 Enrollment ID: I20141027001672 |
| Provider Name | Sima S Pendharkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790945277 PECOS PAC ID: 3779746359 Enrollment ID: I20141202001955 |
| Provider Name | Christopher J Burke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366882425 PECOS PAC ID: 4688816259 Enrollment ID: I20141222000729 |
| Provider Name | Xenia P Sumin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477795771 PECOS PAC ID: 6709109606 Enrollment ID: I20141230000541 |
| Provider Name | Steven Michael Kaner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285697219 PECOS PAC ID: 1759604689 Enrollment ID: I20141230001572 |
| Provider Name | Roshan I Sabar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255326914 PECOS PAC ID: 1052436490 Enrollment ID: I20150105001519 |
| Provider Name | Amelia J Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699726513 PECOS PAC ID: 8224351713 Enrollment ID: I20150109000104 |
| Provider Name | Francisco Santoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881749729 PECOS PAC ID: 4183948649 Enrollment ID: I20150112000870 |
| Provider Name | Gul Moonis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588690960 PECOS PAC ID: 1254324197 Enrollment ID: I20150113001086 |
| Provider Name | Tanya Renee Panton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538246780 PECOS PAC ID: 2466687033 Enrollment ID: I20150119000143 |
| Provider Name | Margarita Presman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871850206 PECOS PAC ID: 7810211927 Enrollment ID: I20150121000153 |
| Provider Name | Allison E Rizzuti |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003130972 PECOS PAC ID: 1355665977 Enrollment ID: I20150130000072 |
| Provider Name | Arthur R Abright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558318790 PECOS PAC ID: 3577713999 Enrollment ID: I20150205000295 |
| Provider Name | Manuela T Menendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720008873 PECOS PAC ID: 7719203819 Enrollment ID: I20150309001561 |
| Provider Name | Jason C Chan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376932236 PECOS PAC ID: 6800112665 Enrollment ID: I20150313001450 |
| Provider Name | Yineska Flores |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437315256 PECOS PAC ID: 6709103815 Enrollment ID: I20150331000612 |
| Provider Name | Falguni A Asrani |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942596465 PECOS PAC ID: 8921325879 Enrollment ID: I20150402001183 |
| Provider Name | Kay Talya Gubbay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326452467 PECOS PAC ID: 5597083451 Enrollment ID: I20150406001685 |
| Provider Name | Cheryl A Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952466047 PECOS PAC ID: 3678891256 Enrollment ID: I20150410000746 |
| Provider Name | Aparna Modi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912142233 PECOS PAC ID: 2062730385 Enrollment ID: I20150417000729 |
| Provider Name | Samantha L. Heller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821293754 PECOS PAC ID: 5496073694 Enrollment ID: I20150420001899 |
| Provider Name | Danny C Mccarthy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003968660 PECOS PAC ID: 3577589886 Enrollment ID: I20150423000078 |
| Provider Name | Eugene Grudnikoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548553217 PECOS PAC ID: 2466771845 Enrollment ID: I20150506002045 |
| Provider Name | Shilpa Tharian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942611736 PECOS PAC ID: 6002136595 Enrollment ID: I20150526000059 |
| Provider Name | Helen M Shin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427315035 PECOS PAC ID: 2860712262 Enrollment ID: I20150527001029 |
| Provider Name | Anil Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609040641 PECOS PAC ID: 3779761176 Enrollment ID: I20150617000421 |
| Provider Name | Ami D Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558522144 PECOS PAC ID: 0042466740 Enrollment ID: I20150702000459 |
| Provider Name | Michael J Grieco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982838520 PECOS PAC ID: 3577706365 Enrollment ID: I20150821012735 |
| Provider Name | Tiangui Huang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356773899 PECOS PAC ID: 0345556080 Enrollment ID: I20150826001603 |
| Provider Name | Nura Salameh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548670920 PECOS PAC ID: 4284941030 Enrollment ID: I20150911000780 |
| Provider Name | Surinder P Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639464142 PECOS PAC ID: 0648588434 Enrollment ID: I20150928001849 |
| Provider Name | Fumiko Dekio |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851604086 PECOS PAC ID: 2860700382 Enrollment ID: I20151002001742 |
| Provider Name | Ruhy Afza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114157963 PECOS PAC ID: 1254568074 Enrollment ID: I20151015000942 |
| Provider Name | Adrienne M Mcmillan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083763387 PECOS PAC ID: 4486709714 Enrollment ID: I20151103000148 |
| Provider Name | Vimala V Sim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972744977 PECOS PAC ID: 4587700117 Enrollment ID: I20151110000458 |
| Provider Name | Shanice Tucker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447627096 PECOS PAC ID: 1759681752 Enrollment ID: I20151124000017 |
| Provider Name | Cecilia Vera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578800074 PECOS PAC ID: 0648570556 Enrollment ID: I20151125001619 |
| Provider Name | Anne J. Choi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730323494 PECOS PAC ID: 4981905254 Enrollment ID: I20151211000371 |
| Provider Name | Sasha T Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881066942 PECOS PAC ID: 3870894843 Enrollment ID: I20151216000823 |
| Provider Name | Tamara Pollak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689915357 PECOS PAC ID: 6305147349 Enrollment ID: I20151217000618 |
| Provider Name | Magdalena Marino-campos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336583947 PECOS PAC ID: 5092016840 Enrollment ID: I20151221000492 |
| Provider Name | Hakyung Kim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801264544 PECOS PAC ID: 2365744414 Enrollment ID: I20160106000706 |
| Provider Name | Eytan Raz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972883155 PECOS PAC ID: 6608178355 Enrollment ID: I20160112002038 |
| Provider Name | Kshamta Joshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881092328 PECOS PAC ID: 7618270083 Enrollment ID: I20160119000292 |
| Provider Name | Marisa Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477927093 PECOS PAC ID: 0648574178 Enrollment ID: I20160203002512 |
| Provider Name | Christine M Dumestre |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891849626 PECOS PAC ID: 6709180847 Enrollment ID: I20160210000052 |
| Provider Name | Peter V Senatore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578937058 PECOS PAC ID: 5496051708 Enrollment ID: I20160314000809 |
| Provider Name | Artur Gosturani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245649359 PECOS PAC ID: 2466774427 Enrollment ID: I20160316001488 |
| Provider Name | Sora Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124403662 PECOS PAC ID: 2769781954 Enrollment ID: I20160421001773 |
| Provider Name | Travis V Meadows |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215279807 PECOS PAC ID: 2860791704 Enrollment ID: I20160428000241 |
| Provider Name | Tanya D Zangaglia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881713287 PECOS PAC ID: 2365755840 Enrollment ID: I20160509001951 |
| Provider Name | Nadia Irshad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548530272 PECOS PAC ID: 5698064608 Enrollment ID: I20160516000196 |
| Provider Name | Gavriil Ilizarov |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982969788 PECOS PAC ID: 9234428939 Enrollment ID: I20160519001431 |
| Provider Name | Emma Rachel Kaplan-lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740573468 PECOS PAC ID: 7113187055 Enrollment ID: I20160526000507 |
| Provider Name | Anthony J. Dedousis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982839346 PECOS PAC ID: 9931499217 Enrollment ID: I20160526002396 |
| Provider Name | Roshin Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740657311 PECOS PAC ID: 5395055453 Enrollment ID: I20160527001249 |
| Provider Name | Marie Edith Petitme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326487075 PECOS PAC ID: 6002115474 Enrollment ID: I20160531001885 |
| Provider Name | Romain R Branch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689835092 PECOS PAC ID: 1254519572 Enrollment ID: I20160602000414 |
| Provider Name | Randi Botier |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447467345 PECOS PAC ID: 3173813292 Enrollment ID: I20160602000496 |
| Provider Name | Charibel A Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780873984 PECOS PAC ID: 4587988076 Enrollment ID: I20160613000256 |
| Provider Name | Erin F Alaia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285950865 PECOS PAC ID: 5597055087 Enrollment ID: I20160613001684 |
| Provider Name | Gary Goldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366792962 PECOS PAC ID: 7416248703 Enrollment ID: I20160616000782 |
| Provider Name | Joseph Boonsiri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861717175 PECOS PAC ID: 5799076691 Enrollment ID: I20160623002557 |
| Provider Name | Chenchan Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023336732 PECOS PAC ID: 6608167515 Enrollment ID: I20160623002591 |
| Provider Name | Kira Melamud |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821313750 PECOS PAC ID: 0547492332 Enrollment ID: I20160630000772 |
| Provider Name | Gopi Kamlesh Nayak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376860114 PECOS PAC ID: 9931402997 Enrollment ID: I20160718001731 |
| Provider Name | Mohammad M Samim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487966693 PECOS PAC ID: 3072834985 Enrollment ID: I20160721001096 |
| Provider Name | Kim Marsala Cullen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295163988 PECOS PAC ID: 7719103779 Enrollment ID: I20160725001204 |
| Provider Name | Rita Ouseph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801206214 PECOS PAC ID: 6800189051 Enrollment ID: I20160726000157 |
| Provider Name | Christina Keith Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194762104 PECOS PAC ID: 5092744938 Enrollment ID: I20160802000704 |
| Provider Name | Seena M Dehkharghani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093989105 PECOS PAC ID: 8325035264 Enrollment ID: I20160817000576 |
| Provider Name | Vadim Grechushkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447561261 PECOS PAC ID: 2264744309 Enrollment ID: I20160817000767 |
| Provider Name | Hossain Rouf |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154769628 PECOS PAC ID: 6507151214 Enrollment ID: I20160819001161 |
| Provider Name | Pratik Vyas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992155196 PECOS PAC ID: 0749575363 Enrollment ID: I20160822002034 |
| Provider Name | Simone G Lauderdale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306074224 PECOS PAC ID: 4789979824 Enrollment ID: I20160829000596 |
| Provider Name | Darya Blednova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023451010 PECOS PAC ID: 5092001941 Enrollment ID: I20160901001899 |
| Provider Name | Kereme Manners |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619314374 PECOS PAC ID: 4789970591 Enrollment ID: I20160902001580 |
| Provider Name | Myles T Taffel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326195280 PECOS PAC ID: 3274721303 Enrollment ID: I20160914000423 |
| Provider Name | Vijay Gayam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316296668 PECOS PAC ID: 3779870308 Enrollment ID: I20160927000016 |
| Provider Name | Gabriel Cartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295282606 PECOS PAC ID: 3779871546 Enrollment ID: I20161011001015 |
| Provider Name | Marisa A Orshanskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326366337 PECOS PAC ID: 5092003350 Enrollment ID: I20161019002211 |
| Provider Name | Rosemarie R Olivera |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083700611 PECOS PAC ID: 9830484120 Enrollment ID: I20161102002118 |
| Provider Name | Bibi S Ali Mohamed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033588124 PECOS PAC ID: 1456639913 Enrollment ID: I20161103001564 |
| Provider Name | Mariam I Garuba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275748261 PECOS PAC ID: 1759536576 Enrollment ID: I20161114000512 |
| Provider Name | Treshia-ann Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720484595 PECOS PAC ID: 8527347350 Enrollment ID: I20161117001521 |
| Provider Name | In Soon Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548334972 PECOS PAC ID: 9638458417 Enrollment ID: I20161118000560 |
| Provider Name | Pamela C Montano Arteaga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679860217 PECOS PAC ID: 1557640299 Enrollment ID: I20161121000120 |
| Provider Name | Diana P Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700109642 PECOS PAC ID: 6507147485 Enrollment ID: I20170109001453 |
| Provider Name | Stephen L Kessler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922009174 PECOS PAC ID: 2365579166 Enrollment ID: I20170220000194 |
| Provider Name | William R Walter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649568015 PECOS PAC ID: 8022300250 Enrollment ID: I20170224000706 |
| Provider Name | Lea Azour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790076941 PECOS PAC ID: 2365724994 Enrollment ID: I20170227000237 |
| Provider Name | Alana A Lewin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780996504 PECOS PAC ID: 1456634419 Enrollment ID: I20170301000363 |
| Provider Name | Jay A Karajgikar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942509104 PECOS PAC ID: 5698070761 Enrollment ID: I20170310001507 |
| Provider Name | Santiago Mercado |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407390081 PECOS PAC ID: 1658657523 Enrollment ID: I20170406002373 |
| Provider Name | Patrice A Fouron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881942217 PECOS PAC ID: 8426334301 Enrollment ID: I20170406002499 |
| Provider Name | Mark Petrovani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871758565 PECOS PAC ID: 2668646878 Enrollment ID: I20170426000874 |
| Provider Name | Angela Tong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326308404 PECOS PAC ID: 1052698859 Enrollment ID: I20170504000602 |
| Provider Name | Shujun Cao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477946465 PECOS PAC ID: 2860769536 Enrollment ID: I20170531000717 |
| Provider Name | Amrita K Arneja |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720330954 PECOS PAC ID: 5890063036 Enrollment ID: I20170613000866 |
| Provider Name | Dominica Uduba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033641485 PECOS PAC ID: 8921376872 Enrollment ID: I20170630000603 |
| Provider Name | Christine Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942405840 PECOS PAC ID: 9436428232 Enrollment ID: I20170711002140 |
| Provider Name | Maryam Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407231012 PECOS PAC ID: 8224308796 Enrollment ID: I20170717003284 |
| Provider Name | John T Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447577788 PECOS PAC ID: 3779738588 Enrollment ID: I20170720001070 |
| Provider Name | Matthew N Suberlak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497048722 PECOS PAC ID: 6305133497 Enrollment ID: I20170809000590 |
| Provider Name | Joel Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245576255 PECOS PAC ID: 9335370725 Enrollment ID: I20170823004071 |
| Provider Name | Yuliya Borik |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669922597 PECOS PAC ID: 6103199716 Enrollment ID: I20170901002032 |
| Provider Name | Hoonhee Shin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669785085 PECOS PAC ID: 5890084933 Enrollment ID: I20170912002919 |
| Provider Name | Ricardo Gray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306376249 PECOS PAC ID: 9537434352 Enrollment ID: I20171004002774 |
| Provider Name | Hyung Sook Paik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528587706 PECOS PAC ID: 3072888437 Enrollment ID: I20171011000842 |
| Provider Name | Irene H Ho |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730690165 PECOS PAC ID: 0042586182 Enrollment ID: I20171018000207 |
| Provider Name | Sheila Sheth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649299074 PECOS PAC ID: 1153458781 Enrollment ID: I20171018002461 |
| Provider Name | Wilmer Joseph Petite |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417188020 PECOS PAC ID: 2264708726 Enrollment ID: I20171027001257 |
| Provider Name | Michael Gerard Stevens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467859769 PECOS PAC ID: 9133486541 Enrollment ID: I20171120001472 |
| Provider Name | Jessica Clemons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578941464 PECOS PAC ID: 2961769013 Enrollment ID: I20171128003647 |
| Provider Name | Jamil Mohammad Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235535436 PECOS PAC ID: 1557620879 Enrollment ID: I20180112001306 |
| Provider Name | Lila A Figueroa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255453452 PECOS PAC ID: 3577823848 Enrollment ID: I20180206000228 |
| Provider Name | Johnny Chi Wai Hsu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942308663 PECOS PAC ID: 3971812264 Enrollment ID: I20180220000018 |
| Provider Name | Jinyoung Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265880793 PECOS PAC ID: 4385905934 Enrollment ID: I20180223000482 |
| Provider Name | Justin Matthew List |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871818195 PECOS PAC ID: 4880956515 Enrollment ID: I20180316002087 |
| Provider Name | Fatima Olude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740707975 PECOS PAC ID: 3870855406 Enrollment ID: I20180320001101 |
| Provider Name | Vera Levter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386155042 PECOS PAC ID: 0345502548 Enrollment ID: I20180328002437 |
| Provider Name | Bari R Dane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407122336 PECOS PAC ID: 6709149651 Enrollment ID: I20180406001401 |
| Provider Name | Susan Beker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770995771 PECOS PAC ID: 4284997552 Enrollment ID: I20180419001020 |
| Provider Name | Sonja S Howard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083879548 PECOS PAC ID: 6204903412 Enrollment ID: I20180423001738 |
| Provider Name | Eyal Lotan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275089518 PECOS PAC ID: 9931462868 Enrollment ID: I20180502001180 |
| Provider Name | Dana J Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538425103 PECOS PAC ID: 7214291004 Enrollment ID: I20180502001861 |
| Provider Name | Sahab Yaqubi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437597739 PECOS PAC ID: 1557646619 Enrollment ID: I20180504001210 |
| Provider Name | Brandon R Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174880462 PECOS PAC ID: 9537450739 Enrollment ID: I20180507000345 |
| Provider Name | Marjorie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174043491 PECOS PAC ID: 3971868720 Enrollment ID: I20180525000493 |
| Provider Name | Riggi Mariamma Wilsant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265931497 PECOS PAC ID: 9931464674 Enrollment ID: I20180529002799 |
| Provider Name | Johana D Oviedo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629488184 PECOS PAC ID: 9436414927 Enrollment ID: I20180605000222 |
| Provider Name | Mansi Mehta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780950048 PECOS PAC ID: 0749545085 Enrollment ID: I20180607001078 |
| Provider Name | Dina Khaimova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417467226 PECOS PAC ID: 1153676812 Enrollment ID: I20180620002220 |
| Provider Name | Kevin A Hsu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518258342 PECOS PAC ID: 9436405743 Enrollment ID: I20180628002116 |
| Provider Name | Iulian Constantin Ungureanu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568905263 PECOS PAC ID: 9436418795 Enrollment ID: I20180706000364 |
| Provider Name | Xinlin Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750737623 PECOS PAC ID: 5294081972 Enrollment ID: I20180711000799 |
| Provider Name | Iman Khodarahmi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306106851 PECOS PAC ID: 8921377573 Enrollment ID: I20180719002982 |
| Provider Name | Daniel Silovitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235525130 PECOS PAC ID: 0446541098 Enrollment ID: I20180723000363 |
| Provider Name | Shirley D Amissah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487821773 PECOS PAC ID: 1456577592 Enrollment ID: I20180723000593 |
| Provider Name | Amanda K Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629498381 PECOS PAC ID: 7012209042 Enrollment ID: I20180730003400 |
| Provider Name | Adam L Falivene |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326435702 PECOS PAC ID: 9032467055 Enrollment ID: I20180808001869 |
| Provider Name | Jeannine Assogba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376066415 PECOS PAC ID: 1153670658 Enrollment ID: I20180816001266 |
| Provider Name | Brian P Clements |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437646791 PECOS PAC ID: 0648529867 Enrollment ID: I20180822000569 |
| Provider Name | Elizabeth Mausner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164789970 PECOS PAC ID: 1658620885 Enrollment ID: I20180822000885 |
| Provider Name | Moon Ju Bae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912484627 PECOS PAC ID: 5294084323 Enrollment ID: I20180822001326 |
| Provider Name | Paola Giraldo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205151263 PECOS PAC ID: 0042560427 Enrollment ID: I20180905002988 |
| Provider Name | Andrena N Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972893261 PECOS PAC ID: 8527318435 Enrollment ID: I20180913001108 |
| Provider Name | Rebecca E Zener |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1851816599 PECOS PAC ID: 0648521070 Enrollment ID: I20180925002139 |
| Provider Name | Jeremiah Wycoff Oconnor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164860961 PECOS PAC ID: 5597980003 Enrollment ID: I20181001001387 |
| Provider Name | Alan T Sheyman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659663268 PECOS PAC ID: 8527283555 Enrollment ID: I20181001002013 |
| Provider Name | Mohammad Kamran Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508271503 PECOS PAC ID: 4789935776 Enrollment ID: I20181002001325 |
| Provider Name | Uloaku Nwoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013451343 PECOS PAC ID: 4981956661 Enrollment ID: I20181008001433 |
| Provider Name | Smila Kodali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659514966 PECOS PAC ID: 6305160185 Enrollment ID: I20181009002994 |
| Provider Name | Kareem J Merrick |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508154840 PECOS PAC ID: 0941552160 Enrollment ID: I20181016001783 |
| Provider Name | Marie A Greene |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790745537 PECOS PAC ID: 5395099626 Enrollment ID: I20181126001750 |
| Provider Name | Valery Glezerov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043301799 PECOS PAC ID: 9234473521 Enrollment ID: I20181127001322 |
| Provider Name | Catalina M Nino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649691999 PECOS PAC ID: 1850653072 Enrollment ID: I20181218001720 |
| Provider Name | Teresa C Gil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447420104 PECOS PAC ID: 0143454405 Enrollment ID: I20181218002175 |
| Provider Name | Maria Chona P San Gabriel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962835108 PECOS PAC ID: 7618237454 Enrollment ID: I20181218002574 |
| Provider Name | Anatoly Leytin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932285145 PECOS PAC ID: 0244537322 Enrollment ID: I20181218003119 |
| Provider Name | Ann E Chernys |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396845210 PECOS PAC ID: 3375888407 Enrollment ID: I20181218003362 |
| Provider Name | Ritesha S Krishnappa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205023256 PECOS PAC ID: 4789863382 Enrollment ID: I20181221001200 |
| Provider Name | Svetlana M Grinblat |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316023476 PECOS PAC ID: 2062710130 Enrollment ID: I20181227000188 |
| Provider Name | Untray T Brown |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841214087 PECOS PAC ID: 9638414311 Enrollment ID: I20181228000111 |
| Provider Name | Jamuna Theventhiran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194046292 PECOS PAC ID: 7517289507 Enrollment ID: I20190102002538 |
| Provider Name | Shaojun Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750467965 PECOS PAC ID: 1052618147 Enrollment ID: I20190103000318 |
| Provider Name | Soney Tino Siriphone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053769141 PECOS PAC ID: 9234475708 Enrollment ID: I20190104001403 |
| Provider Name | Mahsan Rashidfarokhi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225372428 PECOS PAC ID: 7618213091 Enrollment ID: I20190104002215 |
| Provider Name | Gregorio G Sungcad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730248964 PECOS PAC ID: 5991068660 Enrollment ID: I20190118002016 |
| Provider Name | Nazneen N Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962836858 PECOS PAC ID: 0648561035 Enrollment ID: I20190124001370 |
| Provider Name | Viji J Meledath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669962791 PECOS PAC ID: 4688911332 Enrollment ID: I20190204001137 |
| Provider Name | Hein H Latt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841607215 PECOS PAC ID: 7719225283 Enrollment ID: I20190207000582 |
| Provider Name | Rafael B Mustafa Michel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437412343 PECOS PAC ID: 1951661784 Enrollment ID: I20190213000821 |
| Provider Name | Jennifer L Traxler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497060826 PECOS PAC ID: 7012209778 Enrollment ID: I20190213001902 |
| Provider Name | Jose Robert Concepcion |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043553431 PECOS PAC ID: 0446594840 Enrollment ID: I20190314001337 |
| Provider Name | Chitra Chitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962728980 PECOS PAC ID: 2668712779 Enrollment ID: I20190327000258 |
| Provider Name | Gina G Akopyan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265814354 PECOS PAC ID: 1355654120 Enrollment ID: I20190419000037 |
| Provider Name | Obiora S Nnaji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649654013 PECOS PAC ID: 0749528057 Enrollment ID: I20190422002043 |
| Provider Name | Vladimir I Gasca |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609976422 PECOS PAC ID: 7719121003 Enrollment ID: I20190422002117 |
| Provider Name | Karneya J Ancselovits |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427153196 PECOS PAC ID: 0345582425 Enrollment ID: I20190422002128 |
| Provider Name | Pouria Farhoomandi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750729141 PECOS PAC ID: 2769724749 Enrollment ID: I20190423000229 |
| Provider Name | Anna Paley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467710913 PECOS PAC ID: 1951672294 Enrollment ID: I20190430000670 |
| Provider Name | Melanie Chan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639585599 PECOS PAC ID: 4981951969 Enrollment ID: I20190503000847 |
| Provider Name | Rumana Rahmani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760738843 PECOS PAC ID: 7911273750 Enrollment ID: I20190503001527 |
| Provider Name | Xavier San Miguel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689751638 PECOS PAC ID: 1557505039 Enrollment ID: I20190503001566 |
| Provider Name | Ram S Mahato |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770989469 PECOS PAC ID: 2668758566 Enrollment ID: I20190503001607 |
| Provider Name | Kristen E Egger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902315443 PECOS PAC ID: 0446519482 Enrollment ID: I20190509001850 |
| Provider Name | Ross Michael Vanderklok |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902369291 PECOS PAC ID: 4880937093 Enrollment ID: I20190509002098 |
| Provider Name | David B Schnur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164501250 PECOS PAC ID: 7416133467 Enrollment ID: I20190515000758 |
| Provider Name | Sanniu Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194076703 PECOS PAC ID: 3971846734 Enrollment ID: I20190517000729 |
| Provider Name | Tabitha Witthauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346629169 PECOS PAC ID: 2567705957 Enrollment ID: I20190529000976 |
| Provider Name | Gayathri A Mahendiran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235479122 PECOS PAC ID: 1355639071 Enrollment ID: I20190605002830 |
| Provider Name | Benjamin Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932441029 PECOS PAC ID: 1557589355 Enrollment ID: I20190606002066 |
| Provider Name | Leena Rajagopal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396184016 PECOS PAC ID: 5193085942 Enrollment ID: I20190607000060 |
| Provider Name | Vinay Prabhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629311014 PECOS PAC ID: 5597010413 Enrollment ID: I20190607000294 |
| Provider Name | Paul Smereka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235573890 PECOS PAC ID: 0749513612 Enrollment ID: I20190607001101 |
| Provider Name | Jonathan S Alis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538547062 PECOS PAC ID: 0446591663 Enrollment ID: I20190613001562 |
| Provider Name | Shani Golan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104383660 PECOS PAC ID: 1456694660 Enrollment ID: I20190618000660 |
| Provider Name | Hilma L Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245760503 PECOS PAC ID: 0547594822 Enrollment ID: I20190619003041 |
| Provider Name | Shruti A Tiwari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407253198 PECOS PAC ID: 7214213867 Enrollment ID: I20190626002895 |
| Provider Name | Peter J Riviello |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386080661 PECOS PAC ID: 6305195157 Enrollment ID: I20190702000329 |
| Provider Name | Sarah Mohamed |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457707796 PECOS PAC ID: 2365777802 Enrollment ID: I20190705000677 |
| Provider Name | Jean N Gassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922372903 PECOS PAC ID: 8022343292 Enrollment ID: I20190710001435 |
| Provider Name | Andrew C Mcclelland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134416498 PECOS PAC ID: 4183913866 Enrollment ID: I20190712001736 |
| Provider Name | Kayla N Korff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760047484 PECOS PAC ID: 2466785506 Enrollment ID: I20190805002923 |
| Provider Name | Makeda A Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649731134 PECOS PAC ID: 8022345685 Enrollment ID: I20190806001783 |
| Provider Name | Elliott K Gozansky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013176858 PECOS PAC ID: 1658528658 Enrollment ID: I20190808000992 |
| Provider Name | Chidinma A Anamah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558757344 PECOS PAC ID: 6608114970 Enrollment ID: I20190812002819 |
| Provider Name | Diana Sionov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417031956 PECOS PAC ID: 6507193489 Enrollment ID: I20190815000845 |
| Provider Name | Catherine S Pfeiffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649664970 PECOS PAC ID: 3274871561 Enrollment ID: I20190816000068 |
| Provider Name | Andrew C Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831455617 PECOS PAC ID: 6406137660 Enrollment ID: I20190816002369 |
| Provider Name | Kevin J Mckenna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902253933 PECOS PAC ID: 1951649037 Enrollment ID: I20190823003267 |
| Provider Name | David Alan Sanders |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760978886 PECOS PAC ID: 7416286257 Enrollment ID: I20190904002315 |
| Provider Name | Jana Widell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245894930 PECOS PAC ID: 1254660970 Enrollment ID: I20190905002398 |
| Provider Name | Ekwutos P Nweze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235699083 PECOS PAC ID: 2860721339 Enrollment ID: I20190909001858 |
| Provider Name | Peter Rybakov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841790516 PECOS PAC ID: 2466781836 Enrollment ID: I20190910002244 |
| Provider Name | Olakunle Akinyemi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740528009 PECOS PAC ID: 8729333885 Enrollment ID: I20190910003056 |
| Provider Name | Mohammadmehdi Omidvari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194137760 PECOS PAC ID: 8921337155 Enrollment ID: I20190912001947 |
| Provider Name | James J Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831260322 PECOS PAC ID: 7416290853 Enrollment ID: I20190920000175 |
| Provider Name | Ferdousi Begum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689008211 PECOS PAC ID: 1052699220 Enrollment ID: I20190924000495 |
| Provider Name | Jessica K Pearson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376606079 PECOS PAC ID: 1557604030 Enrollment ID: I20190925001477 |
| Provider Name | Shin Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134581598 PECOS PAC ID: 8325392988 Enrollment ID: I20190926001036 |
| Provider Name | Sinae Jung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548341167 PECOS PAC ID: 6800191081 Enrollment ID: I20190926001132 |
| Provider Name | Merryn E Garzon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104918085 PECOS PAC ID: 4082944483 Enrollment ID: I20190927001732 |
| Provider Name | Maung Yee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457518151 PECOS PAC ID: 4183954506 Enrollment ID: I20190927002956 |
| Provider Name | Shahanara A Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093848350 PECOS PAC ID: 9830429117 Enrollment ID: I20190930002103 |
| Provider Name | Sheung-chi Ng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033217773 PECOS PAC ID: 2466783501 Enrollment ID: I20191003003305 |
| Provider Name | Allan Horland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912030263 PECOS PAC ID: 2769713775 Enrollment ID: I20191004002865 |
| Provider Name | Jose Robles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336263318 PECOS PAC ID: 1456682491 Enrollment ID: I20191007000748 |
| Provider Name | Laura Shiffrin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013563840 PECOS PAC ID: 9638400690 Enrollment ID: I20191007001766 |
| Provider Name | Beena Philip-george |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376677468 PECOS PAC ID: 0941531891 Enrollment ID: I20191008002476 |
| Provider Name | Hocametor Gbeasor-carter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346396421 PECOS PAC ID: 6204167067 Enrollment ID: I20191008003714 |
| Provider Name | Daniel S Kestelman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851621346 PECOS PAC ID: 8820329675 Enrollment ID: I20191009003224 |
| Provider Name | Mark R Nathanson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922183276 PECOS PAC ID: 9537448550 Enrollment ID: I20191010002032 |
| Provider Name | Maria-cristina Aguirre |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962573451 PECOS PAC ID: 8426337809 Enrollment ID: I20191011002180 |
| Provider Name | Elena F Pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649585076 PECOS PAC ID: 3173854619 Enrollment ID: I20191014002454 |
| Provider Name | Tania Gazarian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316033970 PECOS PAC ID: 1557668761 Enrollment ID: I20191015002619 |
| Provider Name | Nadya M Persaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326697285 PECOS PAC ID: 6204167661 Enrollment ID: I20191016000817 |
| Provider Name | Prem C Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417081795 PECOS PAC ID: 3577895705 Enrollment ID: I20191021002771 |
| Provider Name | Mohanambal P Gounder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548316664 PECOS PAC ID: 7012249808 Enrollment ID: I20191028002800 |
| Provider Name | David G Hankins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942663075 PECOS PAC ID: 7113265380 Enrollment ID: I20191029000139 |
| Provider Name | Stephanie Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902930027 PECOS PAC ID: 2264764901 Enrollment ID: I20191029002165 |
| Provider Name | Anna I Coward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467858092 PECOS PAC ID: 3476896952 Enrollment ID: I20191029002458 |
| Provider Name | Eugene Mcpherson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972636108 PECOS PAC ID: 1951633676 Enrollment ID: I20191030001922 |
| Provider Name | John Palmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477687549 PECOS PAC ID: 9739411455 Enrollment ID: I20191030002062 |
| Provider Name | Rachel E Goldstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710423512 PECOS PAC ID: 2668757014 Enrollment ID: I20191030002104 |
| Provider Name | Jacqueline Juele-schuster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740566058 PECOS PAC ID: 7719219435 Enrollment ID: I20191030002126 |
| Provider Name | David M Block |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518277219 PECOS PAC ID: 9931464740 Enrollment ID: I20191030002363 |
| Provider Name | Joseph R Mazza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932223989 PECOS PAC ID: 6406188135 Enrollment ID: I20191030002385 |
| Provider Name | Monir L Soliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154358604 PECOS PAC ID: 9830156710 Enrollment ID: I20191031000342 |
| Provider Name | David Michael Murdock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508830316 PECOS PAC ID: 4183648116 Enrollment ID: I20191101002496 |
| Provider Name | Manpreet Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205491073 PECOS PAC ID: 9830422971 Enrollment ID: I20191104002421 |
| Provider Name | Cassandra A D'accordo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295191153 PECOS PAC ID: 2860748183 Enrollment ID: I20191104002936 |
| Provider Name | Hsiaoping Chou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265706410 PECOS PAC ID: 0345528337 Enrollment ID: I20191104003161 |
| Provider Name | Abhinav Vij |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710263470 PECOS PAC ID: 2365740552 Enrollment ID: I20191107000042 |
| Provider Name | Farah Divers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376057646 PECOS PAC ID: 5496187551 Enrollment ID: I20191112002104 |
| Provider Name | Dara R Kocaoglu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679941025 PECOS PAC ID: 0042642068 Enrollment ID: I20191113001626 |
| Provider Name | Alberto I Moran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740366954 PECOS PAC ID: 2466884267 Enrollment ID: I20191116000219 |
| Provider Name | Sarah B Cady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427612795 PECOS PAC ID: 5193157907 Enrollment ID: I20191118000228 |
| Provider Name | Sun Y Maeng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447804067 PECOS PAC ID: 3375975022 Enrollment ID: I20191118002100 |
| Provider Name | Amy J Goldstein |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275193740 PECOS PAC ID: 7618309220 Enrollment ID: I20191120002359 |
| Provider Name | Jan Fritz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407056054 PECOS PAC ID: 1557504396 Enrollment ID: I20191121000217 |
| Provider Name | Nasimullah Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477947711 PECOS PAC ID: 5294028296 Enrollment ID: I20191126001897 |
| Provider Name | Sam Traisak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760506836 PECOS PAC ID: 6507299898 Enrollment ID: I20191126002895 |
| Provider Name | Arlene A Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225695182 PECOS PAC ID: 2365875697 Enrollment ID: I20191127001148 |
| Provider Name | Hanna Yakubova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053875682 PECOS PAC ID: 4082047329 Enrollment ID: I20191127001712 |
| Provider Name | Anthony Surban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790915130 PECOS PAC ID: 0345483061 Enrollment ID: I20191202001396 |
| Provider Name | Jay Kleinfeld |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003949207 PECOS PAC ID: 6709219934 Enrollment ID: I20191202002701 |
| Provider Name | Nicola Shian Jin Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205128576 PECOS PAC ID: 3678849353 Enrollment ID: I20191210003090 |
| Provider Name | Ha T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053489054 PECOS PAC ID: 0143442400 Enrollment ID: I20191213001135 |
| Provider Name | Ervido B Mejia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619001757 PECOS PAC ID: 5799119954 Enrollment ID: I20191220000571 |
| Provider Name | Meng Zhong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760815054 PECOS PAC ID: 0244596864 Enrollment ID: I20191223000697 |
| Provider Name | Marius E Mayerhoefer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376184127 PECOS PAC ID: 2365876059 Enrollment ID: I20200106002631 |
| Provider Name | David Margolis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053383653 PECOS PAC ID: 8022044619 Enrollment ID: I20200107000032 |
| Provider Name | Maya Shyju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710520366 PECOS PAC ID: 2163857764 Enrollment ID: I20200108001065 |
| Provider Name | Smita Datta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508401043 PECOS PAC ID: 3678908118 Enrollment ID: I20200110001486 |
| Provider Name | John Santos Imperio |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093816514 PECOS PAC ID: 3274714837 Enrollment ID: I20200115001401 |
| Provider Name | Michael A Schuster |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437283454 PECOS PAC ID: 5890120547 Enrollment ID: I20200127001983 |
| Provider Name | Pendor Haiyede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215586490 PECOS PAC ID: 4880020510 Enrollment ID: I20200128003090 |
| Provider Name | Hoon Ji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225151343 PECOS PAC ID: 0648363895 Enrollment ID: I20200201000202 |
| Provider Name | Judith N White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114149606 PECOS PAC ID: 8426304700 Enrollment ID: I20200203001657 |
| Provider Name | Rivka Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952859969 PECOS PAC ID: 7618243312 Enrollment ID: I20200208000054 |
| Provider Name | William G Naranjo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427156157 PECOS PAC ID: 2769607688 Enrollment ID: I20200218002049 |
| Provider Name | Bozena Akhand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326558685 PECOS PAC ID: 2961760202 Enrollment ID: I20200219001542 |
| Provider Name | Izehi Agenmonmen Eromosele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003124660 PECOS PAC ID: 8921435579 Enrollment ID: I20200221000138 |
| Provider Name | Sarah R Heilman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790206142 PECOS PAC ID: 7416298476 Enrollment ID: I20200225001928 |
| Provider Name | Kalisha A Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235777293 PECOS PAC ID: 6204263635 Enrollment ID: I20200225002035 |
| Provider Name | Arielle R Stein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104456201 PECOS PAC ID: 5799112009 Enrollment ID: I20200226002871 |
| Provider Name | Adam Herder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578962031 PECOS PAC ID: 3173821329 Enrollment ID: I20200302002254 |
| Provider Name | Joanna Luniewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710079686 PECOS PAC ID: 8022446806 Enrollment ID: I20200309001990 |
| Provider Name | Emma I. Izrailova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598229122 PECOS PAC ID: 7911335690 Enrollment ID: I20200311001055 |
| Provider Name | Nancy M Witterholt-colter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548348626 PECOS PAC ID: 4981909686 Enrollment ID: I20200313001730 |
| Provider Name | Jenny S Mirabal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184853897 PECOS PAC ID: 7416295373 Enrollment ID: I20200316000881 |
| Provider Name | Jelani Greasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740558089 PECOS PAC ID: 5193153435 Enrollment ID: I20200319001287 |
| Provider Name | Olateju Odumosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881225977 PECOS PAC ID: 9335577360 Enrollment ID: I20200325000912 |
| Provider Name | Richa Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992158232 PECOS PAC ID: 3274962154 Enrollment ID: I20200327000994 |
| Provider Name | Saeid Karandish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528419710 PECOS PAC ID: 8628407475 Enrollment ID: I20200331001351 |
| Provider Name | Nahid Rashid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245692300 PECOS PAC ID: 1759629785 Enrollment ID: I20200402000420 |
| Provider Name | Tatsiana Boutenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124650163 PECOS PAC ID: 0547699159 Enrollment ID: I20200402002137 |
| Provider Name | Sarah Yagerman |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1568873628 PECOS PAC ID: 3375972011 Enrollment ID: I20200410000948 |
| Provider Name | Lourdes A Galvez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487988176 PECOS PAC ID: 4688003767 Enrollment ID: I20200413000550 |
| Provider Name | Alexander M El-ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043638133 PECOS PAC ID: 8820321813 Enrollment ID: I20200414002475 |
| Provider Name | Richard Kijowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215996756 PECOS PAC ID: 0749245694 Enrollment ID: I20200423002418 |
| Provider Name | Steven P Daniels |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174941934 PECOS PAC ID: 0840538070 Enrollment ID: I20200424002130 |
| Provider Name | Deon M Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457987158 PECOS PAC ID: 3274964432 Enrollment ID: I20200504001983 |
| Provider Name | Shalin P Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861819260 PECOS PAC ID: 9830316900 Enrollment ID: I20200508000205 |
| Provider Name | Klever M Vasquez Alvarado |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609497619 PECOS PAC ID: 0345671962 Enrollment ID: I20200515000802 |
| Provider Name | Ryan A Saitta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306299367 PECOS PAC ID: 9638500259 Enrollment ID: I20200515001166 |
| Provider Name | Andreater Rambaran-ulu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083248843 PECOS PAC ID: 3274954094 Enrollment ID: I20200603002870 |
| Provider Name | Hallie Robbins |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326097486 PECOS PAC ID: 5890820534 Enrollment ID: I20200608000369 |
| Provider Name | Svetlana Zargarova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639792591 PECOS PAC ID: 4880015213 Enrollment ID: I20200610002221 |
| Provider Name | Surindra Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568719581 PECOS PAC ID: 6507106135 Enrollment ID: I20200622000736 |
| Provider Name | Irina Ok |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629698329 PECOS PAC ID: 8123440047 Enrollment ID: I20200623002388 |
| Provider Name | Tatyana Isakov |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821610379 PECOS PAC ID: 2567884372 Enrollment ID: I20200624002748 |
| Provider Name | Susana M Acosta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477949725 PECOS PAC ID: 7810237708 Enrollment ID: I20200630002839 |
| Provider Name | Mary C Wright |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609497627 PECOS PAC ID: 6507289741 Enrollment ID: I20200707002532 |
| Provider Name | Julian Di'jon Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699313668 PECOS PAC ID: 2264855139 Enrollment ID: I20200710000807 |
| Provider Name | Ian Hsu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467721613 PECOS PAC ID: 3870896624 Enrollment ID: I20200713002886 |
| Provider Name | Erick J Melendez- Aguilar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437501103 PECOS PAC ID: 3971841289 Enrollment ID: I20200716001307 |
| Provider Name | Elizabeth Mary Bonarigo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104270917 PECOS PAC ID: 6709122666 Enrollment ID: I20200728001774 |
| Provider Name | Rani N Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538135991 PECOS PAC ID: 8123080876 Enrollment ID: I20200728002863 |
| Provider Name | Srinivas Bolugoddu Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750756235 PECOS PAC ID: 8325383524 Enrollment ID: I20200803000672 |
| Provider Name | Ese Abohwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265778252 PECOS PAC ID: 2961732797 Enrollment ID: I20200817001558 |
| Provider Name | Margarette F Kernizan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306239264 PECOS PAC ID: 8123375110 Enrollment ID: I20200827001208 |
| Provider Name | Ekta Pandit |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588898670 PECOS PAC ID: 7517384100 Enrollment ID: I20200827001618 |
| Provider Name | Canace Sang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942624333 PECOS PAC ID: 9931526431 Enrollment ID: I20200828001856 |
| Provider Name | Andrea M Kondracke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881717130 PECOS PAC ID: 6305263807 Enrollment ID: I20200828001864 |
| Provider Name | Liselotte L Van Landegem |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942826011 PECOS PAC ID: 5496172728 Enrollment ID: I20200901000568 |
| Provider Name | Brittney Benson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366895336 PECOS PAC ID: 2466879705 Enrollment ID: I20200901000893 |
| Provider Name | Jaejung Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700339967 PECOS PAC ID: 9234557885 Enrollment ID: I20200914001149 |
| Provider Name | Mehrbanoo Lashai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457733347 PECOS PAC ID: 2062751373 Enrollment ID: I20200917002761 |
| Provider Name | Lynne I Hewitt-volpe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700962958 PECOS PAC ID: 7719306620 Enrollment ID: I20200925002290 |
| Provider Name | Stella Chinedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093352544 PECOS PAC ID: 3173942943 Enrollment ID: I20200928001851 |
| Provider Name | Jesse V Wassner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154394906 PECOS PAC ID: 2365426962 Enrollment ID: I20201001002332 |
| Provider Name | Grace O Okolonji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417363847 PECOS PAC ID: 6800215351 Enrollment ID: I20201001002352 |
| Provider Name | Nkwachi Ebere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780209833 PECOS PAC ID: 4082033428 Enrollment ID: I20201002002611 |
| Provider Name | Navjot Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477186880 PECOS PAC ID: 7911326319 Enrollment ID: I20201005001966 |
| Provider Name | Tsering Topgyal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891119582 PECOS PAC ID: 5597184804 Enrollment ID: I20201005002783 |
| Provider Name | Stephanie K Vitabile |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972956951 PECOS PAC ID: 7618213117 Enrollment ID: I20201007002455 |
| Provider Name | Nancy Ngok |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831724947 PECOS PAC ID: 0941620165 Enrollment ID: I20201008003083 |
| Provider Name | Rachel A O'hearn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457896870 PECOS PAC ID: 7911283023 Enrollment ID: I20201008003367 |
| Provider Name | Yi Zhang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063732626 PECOS PAC ID: 5991929895 Enrollment ID: I20201012000405 |
| Provider Name | David G Hankins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942663075 PECOS PAC ID: 7113265380 Enrollment ID: I20201013001011 |
| Provider Name | Reinelda G Diaz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366049694 PECOS PAC ID: 1759701055 Enrollment ID: I20201026000353 |
| Provider Name | Jed A Santa Maria |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154642239 PECOS PAC ID: 6709056955 Enrollment ID: I20201030000182 |
| Provider Name | Khando Tsogyal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619455581 PECOS PAC ID: 8527319227 Enrollment ID: I20201112001823 |
| Provider Name | Polina L Chirina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316391451 PECOS PAC ID: 5597098822 Enrollment ID: I20201113001350 |
| Provider Name | Patrina Royes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144594516 PECOS PAC ID: 0345462297 Enrollment ID: I20201117000806 |
| Provider Name | Alisa Dukach |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477832913 PECOS PAC ID: 7315299708 Enrollment ID: I20201117000965 |
| Provider Name | Aliza Efraimov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225372956 PECOS PAC ID: 8527479815 Enrollment ID: I20201117001545 |
| Provider Name | Pochun J Kwok |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346316288 PECOS PAC ID: 2365669934 Enrollment ID: I20201119002708 |
| Provider Name | Julio Angel Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912242512 PECOS PAC ID: 5890106967 Enrollment ID: I20201120000524 |
| Provider Name | Shaker A Khalil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255526612 PECOS PAC ID: 9335550367 Enrollment ID: I20201124001269 |
| Provider Name | Carl D Goodrich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821115403 PECOS PAC ID: 8820335813 Enrollment ID: I20201124002164 |
| Provider Name | Ashley Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083256788 PECOS PAC ID: 2769893643 Enrollment ID: I20201125000756 |
| Provider Name | Keeley R Mcnamara |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174891238 PECOS PAC ID: 0547555773 Enrollment ID: I20201125002152 |
| Provider Name | Judy C Lu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588807697 PECOS PAC ID: 4082026562 Enrollment ID: I20201208001875 |
| Provider Name | Carson Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598141210 PECOS PAC ID: 1456642750 Enrollment ID: I20201209001996 |
| Provider Name | Sarana Alexander-henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710464672 PECOS PAC ID: 5496167603 Enrollment ID: I20201211002010 |
| Provider Name | Sungmin Woo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417509027 PECOS PAC ID: 5294147302 Enrollment ID: I20201215000618 |
| Provider Name | Geraldine M Villasana Gomez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831597111 PECOS PAC ID: 4486066495 Enrollment ID: I20201216001725 |
| Provider Name | Sonia Vathapally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841810934 PECOS PAC ID: 5395157226 Enrollment ID: I20201216003010 |
| Provider Name | Rajiv Kakar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619053865 PECOS PAC ID: 7719399591 Enrollment ID: I20201221000427 |
| Provider Name | Jessica C Parlor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700016110 PECOS PAC ID: 6709298508 Enrollment ID: I20201221001493 |
| Provider Name | Bernardita D. Sapugay |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487737813 PECOS PAC ID: 5294147815 Enrollment ID: I20201223001106 |
| Provider Name | Georgios M Mavrolefteros |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619520608 PECOS PAC ID: 1456763093 Enrollment ID: I20201223001740 |
| Provider Name | Cassie G O'hara |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679903553 PECOS PAC ID: 7315232733 Enrollment ID: I20201224000534 |
| Provider Name | Hadas Reich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861871758 PECOS PAC ID: 4981947454 Enrollment ID: I20201228002373 |
| Provider Name | Philip J Howard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225392715 PECOS PAC ID: 5496044463 Enrollment ID: I20201229002679 |
| Provider Name | Sarah Morelli |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770817355 PECOS PAC ID: 1456698943 Enrollment ID: I20201230000151 |
| Provider Name | Tamar Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952472441 PECOS PAC ID: 9335408053 Enrollment ID: I20201230000617 |
| Provider Name | Mason C Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437546736 PECOS PAC ID: 4688087976 Enrollment ID: I20210105002624 |
| Provider Name | Romeo S Cayanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194818849 PECOS PAC ID: 9032404496 Enrollment ID: I20210108001246 |
| Provider Name | Bibi F Baksh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710071675 PECOS PAC ID: 4486067394 Enrollment ID: I20210114001881 |
| Provider Name | Bushrah Rahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598312068 PECOS PAC ID: 9032543517 Enrollment ID: I20210115000513 |
| Provider Name | Anton Becker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720647787 PECOS PAC ID: 9133531460 Enrollment ID: I20210115001864 |
| Provider Name | Charlene C Yung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164839056 PECOS PAC ID: 6002229754 Enrollment ID: I20210119002157 |
| Provider Name | Kyungim Oh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033653159 PECOS PAC ID: 3274814280 Enrollment ID: I20210122002127 |
| Provider Name | Michelle Malesa Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033299805 PECOS PAC ID: 0941449334 Enrollment ID: I20210122002423 |
| Provider Name | Jeffrey M Brown |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1285082164 PECOS PAC ID: 7719223460 Enrollment ID: I20210129002323 |
| Provider Name | Lisa Ma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235600636 PECOS PAC ID: 7214277615 Enrollment ID: I20210205000840 |
| Provider Name | Benny R Guillermo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013541309 PECOS PAC ID: 3678903242 Enrollment ID: I20210206000101 |
| Provider Name | Brianna Alonzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598204778 PECOS PAC ID: 3971866245 Enrollment ID: I20210208000894 |
| Provider Name | Zeshan Ahmed Chaudhry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992052005 PECOS PAC ID: 7113332941 Enrollment ID: I20210209000504 |
| Provider Name | Angelina Gomes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477909299 PECOS PAC ID: 4082905328 Enrollment ID: I20210209000606 |
| Provider Name | Evan C Rausch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528454824 PECOS PAC ID: 9830454719 Enrollment ID: I20210211002571 |
| Provider Name | Anna Rogozhina |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922561166 PECOS PAC ID: 1658786272 Enrollment ID: I20210212000389 |
| Provider Name | Meredith D Lynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851737241 PECOS PAC ID: 7416236104 Enrollment ID: I20210215000513 |
| Provider Name | Morris S Gagliardi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538157029 PECOS PAC ID: 0042113276 Enrollment ID: I20210215001122 |
| Provider Name | Yijie Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669828513 PECOS PAC ID: 4688968498 Enrollment ID: I20210218003012 |
| Provider Name | Joseph M Alvaro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548290885 PECOS PAC ID: 9335194489 Enrollment ID: I20210225002658 |
| Provider Name | Svetlana Kirmayer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1043390743 PECOS PAC ID: 9335554203 Enrollment ID: I20210227000029 |
| Provider Name | Eric Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487049169 PECOS PAC ID: 7810289477 Enrollment ID: I20210304002062 |
| Provider Name | Shilpa B Thayyullathil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356662258 PECOS PAC ID: 7113241191 Enrollment ID: I20210316000310 |
| Provider Name | Taoxin Zeng |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811338205 PECOS PAC ID: 4183030125 Enrollment ID: I20210317000435 |
| Provider Name | Fang Zhang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528605326 PECOS PAC ID: 9436566320 Enrollment ID: I20210319001122 |
| Provider Name | Tenzin Wangmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619582764 PECOS PAC ID: 0749697639 Enrollment ID: I20210319001364 |
| Provider Name | Valery Roudnitsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629228168 PECOS PAC ID: 0042468167 Enrollment ID: I20210324002608 |
| Provider Name | Bhavika R Trivedi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174714299 PECOS PAC ID: 1658426507 Enrollment ID: I20210331000811 |
| Provider Name | Mocho Mensah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932340932 PECOS PAC ID: 1658422522 Enrollment ID: I20210331002451 |
| Provider Name | Kathleen M Reeves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508938325 PECOS PAC ID: 0840562336 Enrollment ID: I20210405002138 |
| Provider Name | Anastasia Plaunova |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073871430 PECOS PAC ID: 2163755604 Enrollment ID: I20210406001922 |
| Provider Name | Mitchell H Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205959533 PECOS PAC ID: 6002988342 Enrollment ID: I20210408000829 |
| Provider Name | Danielle Toussie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730574096 PECOS PAC ID: 3173869294 Enrollment ID: I20210409000150 |
| Provider Name | Vijal Parikh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437594066 PECOS PAC ID: 8325456486 Enrollment ID: I20210409001657 |
| Provider Name | Christine E Schindler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497289797 PECOS PAC ID: 2163755547 Enrollment ID: I20210412000476 |
| Provider Name | Meena S. Fatimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528479078 PECOS PAC ID: 6305119314 Enrollment ID: I20210412001652 |
| Provider Name | Joanna Chu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962853259 PECOS PAC ID: 1557637337 Enrollment ID: I20210413000815 |
| Provider Name | Ogochukwu Anagboso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750922639 PECOS PAC ID: 6002242062 Enrollment ID: I20210413002156 |
| Provider Name | Jamie A Kanofsky |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568631273 PECOS PAC ID: 5799861456 Enrollment ID: I20210414002581 |
| Provider Name | Richae L Dehaney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437501871 PECOS PAC ID: 7012283468 Enrollment ID: I20210415002797 |
| Provider Name | Cara Pauls |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104403203 PECOS PAC ID: 1557779212 Enrollment ID: I20210419001870 |
| Provider Name | Denise Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326476102 PECOS PAC ID: 4981030376 Enrollment ID: I20210421001907 |
| Provider Name | Patricia A Baric |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962574343 PECOS PAC ID: 6406072032 Enrollment ID: I20210421001930 |
| Provider Name | Thomas G Michelena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326491937 PECOS PAC ID: 6204244775 Enrollment ID: I20210421002628 |
| Provider Name | Robert D Petrocelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730566415 PECOS PAC ID: 0840608261 Enrollment ID: I20210422002361 |
| Provider Name | Maria Bangieva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316313083 PECOS PAC ID: 0143638437 Enrollment ID: I20210427000925 |
| Provider Name | Mohammed Elsayed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780062687 PECOS PAC ID: 8426368598 Enrollment ID: I20210427002110 |
| Provider Name | Tenzin Choekyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285223032 PECOS PAC ID: 0547675613 Enrollment ID: I20210428002556 |
| Provider Name | Antonio E Ramirez Capo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508229527 PECOS PAC ID: 8729497904 Enrollment ID: I20210430000254 |
| Provider Name | Rosemarie A Disla |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275615270 PECOS PAC ID: 1557771185 Enrollment ID: I20210430000489 |
| Provider Name | Johan E Mejia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740604271 PECOS PAC ID: 4385069962 Enrollment ID: I20210430000639 |
| Provider Name | Steven Zhou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205934932 PECOS PAC ID: 8325264773 Enrollment ID: I20210430000839 |
| Provider Name | Maria S Fontana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043381536 PECOS PAC ID: 0941597207 Enrollment ID: I20210430001224 |
| Provider Name | Eden H Gettinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639240112 PECOS PAC ID: 7810284320 Enrollment ID: I20210430001291 |
| Provider Name | Hina Khan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942753330 PECOS PAC ID: 4486086998 Enrollment ID: I20210430001489 |
| Provider Name | Raymond S Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154732592 PECOS PAC ID: 1254740814 Enrollment ID: I20210511002426 |
| Provider Name | Jennifer L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093061624 PECOS PAC ID: 4981013588 Enrollment ID: I20210512000922 |
| Provider Name | Panagiota Christia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386084721 PECOS PAC ID: 7416366992 Enrollment ID: I20210513001275 |
| Provider Name | Estefania C Quiroz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679955561 PECOS PAC ID: 1254740764 Enrollment ID: I20210513002277 |
| Provider Name | Nnenna I Nwogu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255711461 PECOS PAC ID: 0345599668 Enrollment ID: I20210518000457 |
| Provider Name | Danielle Juliette Dubois |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689103632 PECOS PAC ID: 6507265832 Enrollment ID: I20210519000210 |
| Provider Name | Riddhi M Shah |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487176251 PECOS PAC ID: 4385917079 Enrollment ID: I20210519001782 |
| Provider Name | Michael S Hammond |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255752390 PECOS PAC ID: 5092114249 Enrollment ID: I20210520002253 |
| Provider Name | Juliet Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437631223 PECOS PAC ID: 0345649505 Enrollment ID: I20210520002771 |
| Provider Name | Kaching D Lau |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1578071379 PECOS PAC ID: 4981003159 Enrollment ID: I20210520002817 |
| Provider Name | Alessandra Calvo-friedman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740620400 PECOS PAC ID: 5092936989 Enrollment ID: I20210521000566 |
| Provider Name | Bernadette D Balde-doran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538252275 PECOS PAC ID: 5597164541 Enrollment ID: I20210525002220 |
| Provider Name | Philecia H Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649403361 PECOS PAC ID: 9638578685 Enrollment ID: I20210525002362 |
| Provider Name | Lyudmila Sorkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487776423 PECOS PAC ID: 0042619785 Enrollment ID: I20210528000993 |
| Provider Name | John T Morrow |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891845848 PECOS PAC ID: 7911288402 Enrollment ID: I20210601000857 |
| Provider Name | Karam A K Al-shaikhly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972025344 PECOS PAC ID: 0941627871 Enrollment ID: I20210601000939 |
| Provider Name | Ross Kristal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023497815 PECOS PAC ID: 1850603077 Enrollment ID: I20210601001104 |
| Provider Name | Hazel B Ordanez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003420530 PECOS PAC ID: 6507286010 Enrollment ID: I20210601001515 |
| Provider Name | Oyebisi Jegede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407145543 PECOS PAC ID: 9335406495 Enrollment ID: I20210601001971 |
| Provider Name | Laura A Salvatierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699128587 PECOS PAC ID: 4880950799 Enrollment ID: I20210603001784 |
| Provider Name | Farideh Kia |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1639571615 PECOS PAC ID: 5193124675 Enrollment ID: I20210603001892 |
| Provider Name | Owen Harley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669914495 PECOS PAC ID: 7517247414 Enrollment ID: I20210603002647 |
| Provider Name | Constance N Mofunanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033294210 PECOS PAC ID: 9537568035 Enrollment ID: I20210603002689 |
| Provider Name | Alonnah A Wilcher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912264623 PECOS PAC ID: 2668605791 Enrollment ID: I20210603002998 |
| Provider Name | Brittany N Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730569369 PECOS PAC ID: 3577879444 Enrollment ID: I20210604000212 |
| Provider Name | Brijall Lall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134569866 PECOS PAC ID: 9436558863 Enrollment ID: I20210604000525 |
| Provider Name | Leonel J Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538549910 PECOS PAC ID: 0244542348 Enrollment ID: I20210604001646 |
| Provider Name | Mayra Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407122385 PECOS PAC ID: 1557604626 Enrollment ID: I20210607000761 |
| Provider Name | John Kuo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386055929 PECOS PAC ID: 3779895636 Enrollment ID: I20210607002013 |
| Provider Name | Susan E Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073680690 PECOS PAC ID: 5890917314 Enrollment ID: I20210608001184 |
| Provider Name | Polina Katkovskaya |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750816476 PECOS PAC ID: 2860892163 Enrollment ID: I20210608001742 |
| Provider Name | Robyn W Levinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730512047 PECOS PAC ID: 6608132535 Enrollment ID: I20210609001253 |
| Provider Name | John H Maguire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063583649 PECOS PAC ID: 4082904685 Enrollment ID: I20210609001455 |
| Provider Name | Elizabeth B Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952683401 PECOS PAC ID: 7719278100 Enrollment ID: I20210609003125 |
| Provider Name | Jody F Goldberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700977253 PECOS PAC ID: 8224329404 Enrollment ID: I20210610003151 |
| Provider Name | Beauval Aristide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497044408 PECOS PAC ID: 4981941267 Enrollment ID: I20210610003214 |
| Provider Name | Jadranka Stojanovska |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215943014 PECOS PAC ID: 0840297461 Enrollment ID: I20210614001560 |
| Provider Name | Michael U Magsuci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306111489 PECOS PAC ID: 6608276571 Enrollment ID: I20210615000296 |
| Provider Name | Alicia A Mohamed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861967028 PECOS PAC ID: 2466791892 Enrollment ID: I20210615000444 |
| Provider Name | Myrlande Jean-francois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386120608 PECOS PAC ID: 8820498728 Enrollment ID: I20210615001310 |
| Provider Name | Giovanny C Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164992467 PECOS PAC ID: 1658771456 Enrollment ID: I20210616001342 |
| Provider Name | Mervin David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518265313 PECOS PAC ID: 9133417835 Enrollment ID: I20210616001755 |
| Provider Name | Nica Chery-mompremier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598861825 PECOS PAC ID: 3375834518 Enrollment ID: I20210616002260 |
| Provider Name | Chana Hochman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023347317 PECOS PAC ID: 5597165118 Enrollment ID: I20210617002553 |
| Provider Name | Adjoa Montford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215114616 PECOS PAC ID: 8527468156 Enrollment ID: I20210617002808 |
| Provider Name | Brenda P Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699094441 PECOS PAC ID: 0749538858 Enrollment ID: I20210618000666 |
| Provider Name | Robert L Bryant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366897829 PECOS PAC ID: 5597165050 Enrollment ID: I20210621002217 |
| Provider Name | Dinah Kristine Cheong Geonzon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306389960 PECOS PAC ID: 1557621604 Enrollment ID: I20210623000944 |
| Provider Name | Karen Vassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932694189 PECOS PAC ID: 6901238799 Enrollment ID: I20210623001797 |
| Provider Name | Beata Smyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316289259 PECOS PAC ID: 8628479094 Enrollment ID: I20210623003219 |
| Provider Name | Luqian Liu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760091771 PECOS PAC ID: 7618378670 Enrollment ID: I20210628002620 |
| Provider Name | Melissa Almenas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205236999 PECOS PAC ID: 7416367214 Enrollment ID: I20210628002858 |
| Provider Name | James M Flesher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083693469 PECOS PAC ID: 3072825934 Enrollment ID: I20210708000538 |
| Provider Name | Irene C Dworan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508339839 PECOS PAC ID: 1052642527 Enrollment ID: I20210709000403 |
| Provider Name | Theodore G Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265757454 PECOS PAC ID: 1456588680 Enrollment ID: I20210712001681 |
| Provider Name | Katharine Louzek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639390586 PECOS PAC ID: 2062789217 Enrollment ID: I20210713003908 |
| Provider Name | Ammiel M Callum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467048926 PECOS PAC ID: 0547662280 Enrollment ID: I20210716002072 |
| Provider Name | Ali Ahsan Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427570993 PECOS PAC ID: 6507105053 Enrollment ID: I20210723002926 |
| Provider Name | Ayrenne Angela Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457880494 PECOS PAC ID: 3274879762 Enrollment ID: I20210727003772 |
| Provider Name | Lys Claudie Perard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003340969 PECOS PAC ID: 9931502994 Enrollment ID: I20210728001661 |
| Provider Name | Gayle A Lashansky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073691127 PECOS PAC ID: 2961794011 Enrollment ID: I20210728003117 |
| Provider Name | Beatriz C Makhoulian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609287796 PECOS PAC ID: 9234532151 Enrollment ID: I20210729000446 |
| Provider Name | Jing N Leong-utiashev |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831713692 PECOS PAC ID: 2860895638 Enrollment ID: I20210730002480 |
| Provider Name | Rachel A Bring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215279542 PECOS PAC ID: 6406100981 Enrollment ID: I20210805000857 |
| Provider Name | Marissa O Goldberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497108807 PECOS PAC ID: 4082018502 Enrollment ID: I20210805002302 |
| Provider Name | Mark C Ludwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033501507 PECOS PAC ID: 6608137294 Enrollment ID: I20210806000062 |
| Provider Name | Samantha Landau |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346737855 PECOS PAC ID: 8921402355 Enrollment ID: I20210809000021 |
| Provider Name | Tadeusz S Witkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073744793 PECOS PAC ID: 9537302104 Enrollment ID: I20210810001624 |
| Provider Name | Ei Khine Moe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033601372 PECOS PAC ID: 9739423740 Enrollment ID: I20210810002012 |
| Provider Name | Linda Azon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114493418 PECOS PAC ID: 6406250661 Enrollment ID: I20210810002187 |
| Provider Name | Tyrone Bentley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255402178 PECOS PAC ID: 5294757266 Enrollment ID: I20210810003514 |
| Provider Name | Diane S French-mclean |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1073669768 PECOS PAC ID: 5698179687 Enrollment ID: I20210812003779 |
| Provider Name | Elizabeth M Bledsoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619480613 PECOS PAC ID: 3577829183 Enrollment ID: I20210813000520 |
| Provider Name | Prajakta P Bhimalli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619331782 PECOS PAC ID: 4981995529 Enrollment ID: I20210813002378 |
| Provider Name | Genevieve N Uzoaru |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1720198559 PECOS PAC ID: 4486943214 Enrollment ID: I20210814000118 |
| Provider Name | Viviana C Urgiles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407206659 PECOS PAC ID: 2668877564 Enrollment ID: I20210816001593 |
| Provider Name | Abieyuwa S Eboikpomwen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043404635 PECOS PAC ID: 4183922438 Enrollment ID: I20210816002438 |
| Provider Name | Tanya J Kapka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326137860 PECOS PAC ID: 2668433525 Enrollment ID: I20210816003653 |
| Provider Name | Thomas J Richardson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598290058 PECOS PAC ID: 0042637985 Enrollment ID: I20210817000271 |
| Provider Name | Abdul-razak Mohammed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346668712 PECOS PAC ID: 9638410582 Enrollment ID: I20210817000530 |
| Provider Name | Beth Citroni |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457873366 PECOS PAC ID: 2264846799 Enrollment ID: I20210817001621 |
| Provider Name | Shiraz A Azim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780108001 PECOS PAC ID: 5092110569 Enrollment ID: I20210820002006 |
| Provider Name | Josephine E Pedron-santiago |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861695058 PECOS PAC ID: 7214332782 Enrollment ID: I20210820002233 |
| Provider Name | Daniel S Yaeger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720577828 PECOS PAC ID: 5496150971 Enrollment ID: I20210820002767 |
| Provider Name | Adeel Malik |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790217008 PECOS PAC ID: 1355688730 Enrollment ID: I20210825002199 |
| Provider Name | Ilana Shimunov |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1760903645 PECOS PAC ID: 4587071741 Enrollment ID: I20210825003827 |
| Provider Name | Kenan Katranji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962876219 PECOS PAC ID: 3375802697 Enrollment ID: I20210825004140 |
| Provider Name | Eufemia N Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467620757 PECOS PAC ID: 1658611330 Enrollment ID: I20210826001009 |
| Provider Name | Thelma P Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609244037 PECOS PAC ID: 5597160606 Enrollment ID: I20210826002379 |
| Provider Name | Abimbola Oduguwa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184003121 PECOS PAC ID: 5890080600 Enrollment ID: I20210828000237 |
| Provider Name | Julie Hyppolite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306341284 PECOS PAC ID: 7113322132 Enrollment ID: I20210828000421 |
| Provider Name | Anne Marie Denis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376814640 PECOS PAC ID: 3072750868 Enrollment ID: I20210830000445 |
| Provider Name | Dervelyne Dessalines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861736555 PECOS PAC ID: 1456692441 Enrollment ID: I20210830000661 |
| Provider Name | Vero George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982030698 PECOS PAC ID: 8224378997 Enrollment ID: I20210830001069 |
| Provider Name | Fabienne Rigaud-noriega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952672040 PECOS PAC ID: 3274938253 Enrollment ID: I20210830002063 |
| Provider Name | Ryan M Seaforth |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013258219 PECOS PAC ID: 7911313838 Enrollment ID: I20210831000422 |
| Provider Name | Chang Young Cho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669844270 PECOS PAC ID: 5395088496 Enrollment ID: I20210901000935 |
| Provider Name | Chowdhury Nusrat Farooqui Tania |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083103030 PECOS PAC ID: 2062818644 Enrollment ID: I20210907002455 |
| Provider Name | Wing Sze Leung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376960831 PECOS PAC ID: 3476959958 Enrollment ID: I20210908003281 |
| Provider Name | Ann-marie Civil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003391483 PECOS PAC ID: 1951631167 Enrollment ID: I20210909003176 |
| Provider Name | Natalie F Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033640180 PECOS PAC ID: 0941549802 Enrollment ID: I20210909003857 |
| Provider Name | Rafiqur R Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063697480 PECOS PAC ID: 9234402371 Enrollment ID: I20210913000927 |
| Provider Name | Leland R Soiefer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932603248 PECOS PAC ID: 2264770452 Enrollment ID: I20210913003192 |
| Provider Name | Vincent R Abalajon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801340625 PECOS PAC ID: 8123315652 Enrollment ID: I20210917001872 |
| Provider Name | Golda L Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558334813 PECOS PAC ID: 9830168863 Enrollment ID: I20210917002035 |
| Provider Name | Yasaman Mansouri |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952822231 PECOS PAC ID: 2860894623 Enrollment ID: I20210923003298 |
| Provider Name | Hayley J Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295268662 PECOS PAC ID: 3971849985 Enrollment ID: I20210929000687 |
| Provider Name | Imad Rahman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598332983 PECOS PAC ID: 1153728431 Enrollment ID: I20210929002452 |
| Provider Name | Stephen M Druhan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720034291 PECOS PAC ID: 1951306430 Enrollment ID: I20210930002315 |
| Provider Name | Beverly C Jordan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558326330 PECOS PAC ID: 5991766008 Enrollment ID: I20211007000634 |
| Provider Name | Hannah B Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154733467 PECOS PAC ID: 8820300767 Enrollment ID: I20211007000856 |
| Provider Name | Dawn J Ramsay-dasent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245773316 PECOS PAC ID: 7719262260 Enrollment ID: I20211007001766 |
| Provider Name | Kiana C Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033757539 PECOS PAC ID: 5294163440 Enrollment ID: I20211007003017 |
| Provider Name | Sebastian G Bernardo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316380231 PECOS PAC ID: 3779821954 Enrollment ID: I20211008000281 |
| Provider Name | Kimberly Y Cheng |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104493717 PECOS PAC ID: 5890193551 Enrollment ID: I20211011000540 |
| Provider Name | Anne W Thode |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245651371 PECOS PAC ID: 6800155268 Enrollment ID: I20211011002002 |
| Provider Name | Katharina Eikermann-haerter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326421223 PECOS PAC ID: 9436446242 Enrollment ID: I20211025003021 |
| Provider Name | Rebecca Schickman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841554110 PECOS PAC ID: 6103160064 Enrollment ID: I20211027002048 |
| Provider Name | Jean Marie H Claude |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629124433 PECOS PAC ID: 7719140417 Enrollment ID: I20211028001805 |
| Provider Name | Anita C Vaughn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578503942 PECOS PAC ID: 3870564289 Enrollment ID: I20211101002671 |
| Provider Name | Bernard Goldwasser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477814119 PECOS PAC ID: 8820332331 Enrollment ID: I20211101002850 |
| Provider Name | Marlena N Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619538451 PECOS PAC ID: 5092045153 Enrollment ID: I20211108002436 |
| Provider Name | Micheal A Breen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487095295 PECOS PAC ID: 7517249006 Enrollment ID: I20211109001975 |
| Provider Name | Bladimir Quijano-rondan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528417565 PECOS PAC ID: 8921346891 Enrollment ID: I20211110000618 |
| Provider Name | Ana M Gonzalez-mejia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912005646 PECOS PAC ID: 7810269776 Enrollment ID: I20211110000780 |
| Provider Name | Seylon Chen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518621408 PECOS PAC ID: 2062801160 Enrollment ID: I20211111000288 |
| Provider Name | David S Gellman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255466363 PECOS PAC ID: 6901046879 Enrollment ID: I20211118002325 |
| Provider Name | Jayshree Modi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417982562 PECOS PAC ID: 1658553144 Enrollment ID: I20211126000067 |
| Provider Name | Liliana V Bellini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659442143 PECOS PAC ID: 9032478193 Enrollment ID: I20211129000111 |
| Provider Name | Isaac E Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538642780 PECOS PAC ID: 0840626420 Enrollment ID: I20211129002143 |
| Provider Name | Julien Elizee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144310525 PECOS PAC ID: 9638353188 Enrollment ID: I20211201001472 |
| Provider Name | Lucy E Modahl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902868730 PECOS PAC ID: 0648379412 Enrollment ID: I20211201002809 |
| Provider Name | Olubukola Olopade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528683307 PECOS PAC ID: 4880005735 Enrollment ID: I20211202002857 |
| Provider Name | Beth E Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417300377 PECOS PAC ID: 9335484419 Enrollment ID: I20211203001079 |
| Provider Name | Chun-hao S Xiao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942394887 PECOS PAC ID: 2163812132 Enrollment ID: I20211206002059 |
| Provider Name | Maria V Mercedes-mejia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316238082 PECOS PAC ID: 0345585410 Enrollment ID: I20211207000539 |
| Provider Name | Angela Waterfall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275861247 PECOS PAC ID: 8729203575 Enrollment ID: I20211207000859 |
| Provider Name | Kimberly Grace Hsu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316593718 PECOS PAC ID: 7719377647 Enrollment ID: I20211207001786 |
| Provider Name | Darrell I Soler Irizarry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821549049 PECOS PAC ID: 2567852460 Enrollment ID: I20211208002782 |
| Provider Name | Cary M Berwald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952362188 PECOS PAC ID: 0547650392 Enrollment ID: I20211209001342 |
| Provider Name | Selene K Henry-lake |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346506797 PECOS PAC ID: 5799071759 Enrollment ID: I20211213000349 |
| Provider Name | Joe Park |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144457623 PECOS PAC ID: 5092034843 Enrollment ID: I20211213002294 |
| Provider Name | Mechell L Penaflorida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740857275 PECOS PAC ID: 0345631933 Enrollment ID: I20211215000222 |
| Provider Name | Michael S Puryear |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760732861 PECOS PAC ID: 5991196511 Enrollment ID: I20211215001331 |
| Provider Name | Emilie Lauren O'neill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932555943 PECOS PAC ID: 6002100807 Enrollment ID: I20211217001870 |
| Provider Name | Julia T Mai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922618321 PECOS PAC ID: 0840681151 Enrollment ID: I20211221001909 |
| Provider Name | Mary Di Masi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730610304 PECOS PAC ID: 6800166059 Enrollment ID: I20211222001444 |
| Provider Name | Margarita Sadykova Sofiev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801386792 PECOS PAC ID: 2769733831 Enrollment ID: I20211222001867 |
| Provider Name | Chih-yun Luo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053404707 PECOS PAC ID: 4587960653 Enrollment ID: I20211222001998 |
| Provider Name | Mary C Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639259658 PECOS PAC ID: 3577862739 Enrollment ID: I20211222002124 |
| Provider Name | Olga Badalova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962663385 PECOS PAC ID: 2961701388 Enrollment ID: I20211222002260 |
| Provider Name | Weihong Lu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265864755 PECOS PAC ID: 7113145681 Enrollment ID: I20211223000413 |
| Provider Name | Angela Glasscock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003909755 PECOS PAC ID: 5597060921 Enrollment ID: I20211228000309 |
| Provider Name | Anita Ohemeng-asomani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669929576 PECOS PAC ID: 8628316361 Enrollment ID: I20211229000813 |
| Provider Name | Laura Pucci |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942672571 PECOS PAC ID: 2668863663 Enrollment ID: I20211230001167 |
| Provider Name | Atim Ntekim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841859964 PECOS PAC ID: 4981095742 Enrollment ID: I20220105001422 |
| Provider Name | Marie J Sajous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760983985 PECOS PAC ID: 6709121874 Enrollment ID: I20220107000192 |
| Provider Name | Ikbal H Ghanim-alali |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851487482 PECOS PAC ID: 4183919509 Enrollment ID: I20220111001377 |
| Provider Name | Jodi L Romano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962574855 PECOS PAC ID: 6002032331 Enrollment ID: I20220118001634 |
| Provider Name | Kemi S Abdul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437318755 PECOS PAC ID: 1456743582 Enrollment ID: I20220121000750 |
| Provider Name | Mackenzie Jameson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366054975 PECOS PAC ID: 4981096831 Enrollment ID: I20220126002095 |
| Provider Name | Valessa Mesidor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972276285 PECOS PAC ID: 4284027079 Enrollment ID: I20220129000222 |
| Provider Name | Fabiola Plessy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013677210 PECOS PAC ID: 9830582659 Enrollment ID: I20220131000702 |
| Provider Name | Claude A Charles-pericles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427366095 PECOS PAC ID: 6800289513 Enrollment ID: I20220201002216 |
| Provider Name | Jesse B Elias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649747692 PECOS PAC ID: 8527451293 Enrollment ID: I20220202001528 |
| Provider Name | Kevin Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619356441 PECOS PAC ID: 1850603069 Enrollment ID: I20220202001822 |
| Provider Name | Genevieve M Icart-bandali |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780760249 PECOS PAC ID: 5597938530 Enrollment ID: I20220202002195 |
| Provider Name | Steffy Jose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548753379 PECOS PAC ID: 0143613760 Enrollment ID: I20220203000773 |
| Provider Name | Pia J Gardner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639133812 PECOS PAC ID: 0244288835 Enrollment ID: I20220207000715 |
| Provider Name | Heeral Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871959122 PECOS PAC ID: 1254692692 Enrollment ID: I20220209000226 |
| Provider Name | Alexander J Ling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497278873 PECOS PAC ID: 1153733159 Enrollment ID: I20220217000680 |
| Provider Name | Robyn L Kitto |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770716581 PECOS PAC ID: 8628461589 Enrollment ID: I20220217000982 |
| Provider Name | Carla J Howard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366410565 PECOS PAC ID: 2062670847 Enrollment ID: I20220218000281 |
| Provider Name | Jonathan S Vogelman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649789397 PECOS PAC ID: 0446644165 Enrollment ID: I20220223001164 |
| Provider Name | Luke A Ginocchio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255785945 PECOS PAC ID: 2668725607 Enrollment ID: I20220314001306 |
| Provider Name | Nurjahan Akter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710311196 PECOS PAC ID: 0042566382 Enrollment ID: I20220315000025 |
| Provider Name | Angelica Terepka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811321474 PECOS PAC ID: 6709149511 Enrollment ID: I20220315000981 |
| Provider Name | Ana Clarita G Haguisan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619561651 PECOS PAC ID: 7315332939 Enrollment ID: I20220317002376 |
| Provider Name | Seria Mullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578210563 PECOS PAC ID: 1850786989 Enrollment ID: I20220328000727 |
| Provider Name | Waseem A Bhatti |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1578779310 PECOS PAC ID: 6507020708 Enrollment ID: I20220328002294 |
| Provider Name | Fatiha Ouklilane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730530023 PECOS PAC ID: 8628365673 Enrollment ID: I20220406000869 |
| Provider Name | Jenny Mahealani Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033864152 PECOS PAC ID: 8628464351 Enrollment ID: I20220406001792 |
| Provider Name | Jonnika Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518440775 PECOS PAC ID: 7012252596 Enrollment ID: I20220406002431 |
| Provider Name | Khemadt Umadat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760778138 PECOS PAC ID: 0648408674 Enrollment ID: I20220407001782 |
| Provider Name | Aye A Win |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134541071 PECOS PAC ID: 1951627454 Enrollment ID: I20220407002367 |
| Provider Name | Margaret S Yang-machado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104342120 PECOS PAC ID: 9931465325 Enrollment ID: I20220408001764 |
| Provider Name | Tess S Punnapuzha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013078591 PECOS PAC ID: 7911287628 Enrollment ID: I20220412001467 |
| Provider Name | Dominique M Shaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871544536 PECOS PAC ID: 8527066265 Enrollment ID: I20220412002826 |
| Provider Name | Kalayaan Fe S Becerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861944381 PECOS PAC ID: 5092087726 Enrollment ID: I20220425001254 |
| Provider Name | Seonmee Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538267265 PECOS PAC ID: 9032478326 Enrollment ID: I20220425001552 |
| Provider Name | Roland J Raggio |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386945830 PECOS PAC ID: 9436546173 Enrollment ID: I20220427000297 |
| Provider Name | Christiane R Lataillade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174119929 PECOS PAC ID: 6305233826 Enrollment ID: I20220429001910 |
| Provider Name | Lionel Znaty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205375722 PECOS PAC ID: 1254728736 Enrollment ID: I20220502001773 |
| Provider Name | Lubov Yagnych |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568084358 PECOS PAC ID: 3072990332 Enrollment ID: I20220507000218 |
| Provider Name | Christopher S Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467907188 PECOS PAC ID: 1557773181 Enrollment ID: I20220509000524 |
| Provider Name | Chika P Onyia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124407549 PECOS PAC ID: 0840605895 Enrollment ID: I20220511000215 |
| Provider Name | Meghan Leann Jardon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194188201 PECOS PAC ID: 3173866829 Enrollment ID: I20220511001492 |
| Provider Name | Evan C Lieberman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225484694 PECOS PAC ID: 4789936147 Enrollment ID: I20220514000088 |
| Provider Name | Beatrice C Garcia |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376934323 PECOS PAC ID: 1759768690 Enrollment ID: I20220516002254 |
| Provider Name | Gordon Crews |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053774778 PECOS PAC ID: 1951788793 Enrollment ID: I20220516002535 |
| Provider Name | Duremelle Deutou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992936975 PECOS PAC ID: 7719364561 Enrollment ID: I20220516002817 |
| Provider Name | Zhe Guan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902257488 PECOS PAC ID: 9830483775 Enrollment ID: I20220517001999 |
| Provider Name | Angela Melkonian |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164667465 PECOS PAC ID: 7315324076 Enrollment ID: I20220518001527 |
| Provider Name | Mark Profesorske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184375693 PECOS PAC ID: 1254718646 Enrollment ID: I20220525000641 |
| Provider Name | Md M Rahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245516962 PECOS PAC ID: 8123406543 Enrollment ID: I20220525002485 |
| Provider Name | Shimeng Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588186639 PECOS PAC ID: 4082028410 Enrollment ID: I20220527000072 |
| Provider Name | Jill Gewirtz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366518201 PECOS PAC ID: 6002157674 Enrollment ID: I20220531001480 |
| Provider Name | Vinod Chacko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528245941 PECOS PAC ID: 5698833473 Enrollment ID: I20220601001437 |
| Provider Name | Angelina M Fletcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740767938 PECOS PAC ID: 7517345689 Enrollment ID: I20220601001511 |
| Provider Name | Elizabeth O Adeleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144683921 PECOS PAC ID: 6305125568 Enrollment ID: I20220602000330 |
| Provider Name | Marie J Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881063063 PECOS PAC ID: 5890082598 Enrollment ID: I20220607003068 |
| Provider Name | Grace Fimbel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679540397 PECOS PAC ID: 9032148952 Enrollment ID: I20220608001631 |
| Provider Name | Leslie A Harris-bernstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922019371 PECOS PAC ID: 7214340769 Enrollment ID: I20220608002348 |
| Provider Name | Laura Lee Desimone |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629164751 PECOS PAC ID: 3173518396 Enrollment ID: I20220613002751 |
| Provider Name | Margaret T Re |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144307190 PECOS PAC ID: 4789983651 Enrollment ID: I20220617001055 |
| Provider Name | Benjamin D Estrada |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245895911 PECOS PAC ID: 4486033362 Enrollment ID: I20220623001270 |
| Provider Name | Jonathan Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891182622 PECOS PAC ID: 8628322062 Enrollment ID: I20220624000583 |
| Provider Name | Donghai Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104352749 PECOS PAC ID: 3577943745 Enrollment ID: I20220706000490 |
| Provider Name | Kimberly Look |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821439795 PECOS PAC ID: 1153702873 Enrollment ID: I20220713000243 |
| Provider Name | Juan Lloret Del Hoyo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366115867 PECOS PAC ID: 5799166583 Enrollment ID: I20220726001302 |
| Provider Name | Ivy Ingber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932355500 PECOS PAC ID: 1850773136 Enrollment ID: I20220803001124 |
| Provider Name | Mohammed Mazharuddin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396143806 PECOS PAC ID: 3375925415 Enrollment ID: I20220805000295 |
| Provider Name | Evette Vazquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306113725 PECOS PAC ID: 7618397118 Enrollment ID: I20220811002395 |
| Provider Name | Antoinette P Smart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265685028 PECOS PAC ID: 9133537244 Enrollment ID: I20220812000855 |
| Provider Name | Kamil I Dar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316433113 PECOS PAC ID: 6608114715 Enrollment ID: I20220815002667 |
| Provider Name | Carrie J Watters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346655750 PECOS PAC ID: 0547684656 Enrollment ID: I20220817001106 |
| Provider Name | Charles W Gillihan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215490370 PECOS PAC ID: 6608259833 Enrollment ID: I20220819001971 |
| Provider Name | Svetlana Lopata |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902393655 PECOS PAC ID: 5496167975 Enrollment ID: I20220822001744 |
| Provider Name | Yanill Quezada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528534203 PECOS PAC ID: 0345623468 Enrollment ID: I20220822002643 |
| Provider Name | Kandace Chere Lamonica |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952864977 PECOS PAC ID: 7517296668 Enrollment ID: I20220823000479 |
| Provider Name | Kathya E Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720524259 PECOS PAC ID: 3173906252 Enrollment ID: I20220823001768 |
| Provider Name | Daphne Phanord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528739687 PECOS PAC ID: 2062895071 Enrollment ID: I20220823003197 |
| Provider Name | Meizhu Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770152969 PECOS PAC ID: 0749664670 Enrollment ID: I20220826000756 |
| Provider Name | Ashok Parmar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710122098 PECOS PAC ID: 7618351099 Enrollment ID: I20220902001497 |
| Provider Name | Angela E Sampson-keller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629196829 PECOS PAC ID: 7012337470 Enrollment ID: I20220902001552 |
| Provider Name | Lynnsue K Jolley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922150101 PECOS PAC ID: 6507286861 Enrollment ID: I20220909001439 |
| Provider Name | Ryan P Joyce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982049896 PECOS PAC ID: 5092060145 Enrollment ID: I20220909001978 |
| Provider Name | Sneha S. Bathina |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770218018 PECOS PAC ID: 9335524065 Enrollment ID: I20220916001377 |
| Provider Name | Joseph W Song |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326493990 PECOS PAC ID: 5294073458 Enrollment ID: I20220919001249 |
| Provider Name | Shirin Kohanim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043623796 PECOS PAC ID: 1850776311 Enrollment ID: I20220920000412 |
| Provider Name | Gilberth B Alcindor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033794813 PECOS PAC ID: 6002291515 Enrollment ID: I20220920002475 |
| Provider Name | Camila Castellanos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093276446 PECOS PAC ID: 1254661457 Enrollment ID: I20220921003885 |
| Provider Name | Noah N Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316434038 PECOS PAC ID: 8022494004 Enrollment ID: I20220928001471 |
| Provider Name | Daniel D Alterman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346391034 PECOS PAC ID: 0244415974 Enrollment ID: I20221007001202 |
| Provider Name | Anny Bonilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477275717 PECOS PAC ID: 9032585252 Enrollment ID: I20221013000504 |
| Provider Name | Ekundayo Sunmonu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942514955 PECOS PAC ID: 3577939594 Enrollment ID: I20221017001708 |
| Provider Name | Ambika Babbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699268227 PECOS PAC ID: 3971841545 Enrollment ID: I20221018000470 |
| Provider Name | Yalto A Mushiyeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245741131 PECOS PAC ID: 1557628344 Enrollment ID: I20221018003353 |
| Provider Name | Raquel S Pina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932820107 PECOS PAC ID: 6002282688 Enrollment ID: I20221024000462 |
| Provider Name | Mikaila R Barba |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619602240 PECOS PAC ID: 9739555335 Enrollment ID: I20221024001333 |
| Provider Name | Kathleen M Spillane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366109712 PECOS PAC ID: 6800262247 Enrollment ID: I20221026001279 |
| Provider Name | Aminata N Jalloh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912245747 PECOS PAC ID: 1557738937 Enrollment ID: I20221028001030 |
| Provider Name | Danielle Di Sanza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942760897 PECOS PAC ID: 2163899113 Enrollment ID: I20221103000567 |
| Provider Name | Luiz A Leiva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578907036 PECOS PAC ID: 4789051723 Enrollment ID: I20221104001091 |
| Provider Name | Wing Yan V Cheung |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417677170 PECOS PAC ID: 8820466162 Enrollment ID: I20221117002814 |
| Provider Name | Sarah H Adut |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811612781 PECOS PAC ID: 7719355973 Enrollment ID: I20221118000303 |
| Provider Name | Daniel Yashayev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558635920 PECOS PAC ID: 7618272774 Enrollment ID: I20221118001473 |
| Provider Name | Ashley E Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285240275 PECOS PAC ID: 8123496205 Enrollment ID: I20221121002367 |
| Provider Name | Diana S Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740901263 PECOS PAC ID: 4082082193 Enrollment ID: I20221122000201 |
| Provider Name | Stephen J Downey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598260697 PECOS PAC ID: 3779830310 Enrollment ID: I20221129000850 |
| Provider Name | Anurag K Goel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033405592 PECOS PAC ID: 1557518206 Enrollment ID: I20221130003461 |
| Provider Name | Linda M Campos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467896688 PECOS PAC ID: 2062880677 Enrollment ID: I20221201000798 |
| Provider Name | Joe P James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972013647 PECOS PAC ID: 5991196487 Enrollment ID: I20221206001694 |
| Provider Name | Eniola R Adebayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275061525 PECOS PAC ID: 2769898295 Enrollment ID: I20221212000364 |
| Provider Name | Lina M Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336748433 PECOS PAC ID: 5991180390 Enrollment ID: I20221212000764 |
| Provider Name | Natacha St. Juste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285377754 PECOS PAC ID: 4789053786 Enrollment ID: I20221214001561 |
| Provider Name | Soonja Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316526338 PECOS PAC ID: 0749687630 Enrollment ID: I20221215002474 |
| Provider Name | Priya Krishnarao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770921132 PECOS PAC ID: 4183991987 Enrollment ID: I20221219002130 |
| Provider Name | Andrea C Cannalunga Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801377866 PECOS PAC ID: 5799155420 Enrollment ID: I20221221001618 |
| Provider Name | Alejandro Dejesus |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457332561 PECOS PAC ID: 1850607649 Enrollment ID: I20221221002053 |
| Provider Name | Julio Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689318685 PECOS PAC ID: 0749650158 Enrollment ID: I20221229001601 |
| Provider Name | Charmaine Nagasarsingh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215606983 PECOS PAC ID: 5991175309 Enrollment ID: I20221229001781 |
| Provider Name | Deddeh Monique Ballah-leahey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932463478 PECOS PAC ID: 2062787948 Enrollment ID: I20230104000849 |
| Provider Name | Denise Fredette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255660510 PECOS PAC ID: 7719357987 Enrollment ID: I20230104000997 |
| Provider Name | Maja Baytos Pascual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851061659 PECOS PAC ID: 6800266925 Enrollment ID: I20230106001847 |
| Provider Name | Shao Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174285498 PECOS PAC ID: 1254702863 Enrollment ID: I20230118002171 |
| Provider Name | Tonya Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205159100 PECOS PAC ID: 8820469034 Enrollment ID: I20230126002185 |
| Provider Name | Gail-ann V Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609387208 PECOS PAC ID: 2769853670 Enrollment ID: I20230131002550 |
| Provider Name | Shahedara Shilu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437867785 PECOS PAC ID: 9638541543 Enrollment ID: I20230202000087 |
| Provider Name | Amin J Hakim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588752141 PECOS PAC ID: 6800268715 Enrollment ID: I20230202000126 |
| Provider Name | Panteleymon Anastasakis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467977314 PECOS PAC ID: 9133591050 Enrollment ID: I20230202000707 |
| Provider Name | Soorya Raj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841926722 PECOS PAC ID: 0648642405 Enrollment ID: I20230206000604 |
| Provider Name | Stephanie Gallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295461283 PECOS PAC ID: 6305218074 Enrollment ID: I20230206001385 |
| Provider Name | Makeda T Rambert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912528639 PECOS PAC ID: 9830561455 Enrollment ID: I20230208001487 |
| Provider Name | Julia K Margolis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467835397 PECOS PAC ID: 6608248224 Enrollment ID: I20230208001735 |
| Provider Name | Osa C Guobadia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306402268 PECOS PAC ID: 9537560602 Enrollment ID: I20230209002229 |
| Provider Name | Anjali Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043947856 PECOS PAC ID: 9335510056 Enrollment ID: I20230215000906 |
| Provider Name | Gabriela R Sposito |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518450667 PECOS PAC ID: 4284007220 Enrollment ID: I20230222001997 |
| Provider Name | Arvinder Singh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982746871 PECOS PAC ID: 8527431402 Enrollment ID: I20230223000452 |
| Provider Name | Achyata Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700445996 PECOS PAC ID: 2961870399 Enrollment ID: I20230227000414 |
| Provider Name | Sujata Gurung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083990311 PECOS PAC ID: 5991178675 Enrollment ID: I20230228000478 |
| Provider Name | Cheri-ann J Clarke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669624433 PECOS PAC ID: 5092188789 Enrollment ID: I20230228000875 |
| Provider Name | Emma A Ahern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295446755 PECOS PAC ID: 7517330210 Enrollment ID: I20230228001473 |
| Provider Name | Rebecca Gruia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669996617 PECOS PAC ID: 4880067446 Enrollment ID: I20230301000900 |
| Provider Name | Abeera Mansur |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033541610 PECOS PAC ID: 6709010770 Enrollment ID: I20230321000197 |
| Provider Name | Gianna Manfredi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811538259 PECOS PAC ID: 8527432962 Enrollment ID: I20230324002601 |
| Provider Name | Lhakpa D Gurung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780395640 PECOS PAC ID: 5193199446 Enrollment ID: I20230328001294 |
| Provider Name | Marion A Billings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629415146 PECOS PAC ID: 1052690120 Enrollment ID: I20230329003369 |
| Provider Name | Sandra C Hoffmeier |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245322718 PECOS PAC ID: 6901101930 Enrollment ID: I20230330001318 |
| Provider Name | Cynthia Estrada |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730613118 PECOS PAC ID: 7315284478 Enrollment ID: I20230403000350 |
| Provider Name | Tulani Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477742427 PECOS PAC ID: 7315294279 Enrollment ID: I20230403000577 |
| Provider Name | Rafael A Tejada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487158416 PECOS PAC ID: 0143695114 Enrollment ID: I20230404001910 |
| Provider Name | Patricia L Neil |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1003223231 PECOS PAC ID: 8729340799 Enrollment ID: I20230404002471 |
| Provider Name | Jiali Wu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851017057 PECOS PAC ID: 6406221407 Enrollment ID: I20230405000288 |
| Provider Name | Alexandra Napolitano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881129534 PECOS PAC ID: 5991170938 Enrollment ID: I20230405001782 |
| Provider Name | Mary Varghese |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1760474753 PECOS PAC ID: 1759756703 Enrollment ID: I20230405002053 |
| Provider Name | Deepa Rao |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1285800458 PECOS PAC ID: 6901271964 Enrollment ID: I20230405002794 |
| Provider Name | Carlos Miranda |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1295948610 PECOS PAC ID: 8527335389 Enrollment ID: I20230406002248 |
| Provider Name | Tenzin Chodon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013613363 PECOS PAC ID: 6709251630 Enrollment ID: I20230407000087 |
| Provider Name | Akua K Asare-bediako |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699476838 PECOS PAC ID: 4284009903 Enrollment ID: I20230412000433 |
| Provider Name | Brianna Harney-delehanty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891492971 PECOS PAC ID: 2567837974 Enrollment ID: I20230417000537 |
| Provider Name | Marc Branche |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922446756 PECOS PAC ID: 3072996644 Enrollment ID: I20230425000280 |
| Provider Name | George Cushing |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952382475 PECOS PAC ID: 4981684636 Enrollment ID: I20230428000667 |
| Provider Name | Marlene Negron-luna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164577961 PECOS PAC ID: 1153786066 Enrollment ID: I20230428000778 |
| Provider Name | James M Gee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700318433 PECOS PAC ID: 1850664392 Enrollment ID: I20230428001793 |
| Provider Name | Esha Gurnani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407345176 PECOS PAC ID: 6305201039 Enrollment ID: I20230502000321 |
| Provider Name | Syretta E Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407326093 PECOS PAC ID: 6507221983 Enrollment ID: I20230509000478 |
| Provider Name | Alexander J Kieturakis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467985226 PECOS PAC ID: 9234488487 Enrollment ID: I20230509000685 |
| Provider Name | Lindsay E Cox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376905364 PECOS PAC ID: 3375914146 Enrollment ID: I20230509000740 |
| Provider Name | Upma Hemal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770666950 PECOS PAC ID: 1951300961 Enrollment ID: I20230512000676 |
| Provider Name | Tenzin Lekshay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205597226 PECOS PAC ID: 2264898402 Enrollment ID: I20230515001263 |
| Provider Name | Shana G Neumann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518498989 PECOS PAC ID: 0244611887 Enrollment ID: I20230518003615 |
| Provider Name | Alexa Goldstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235767864 PECOS PAC ID: 4688031172 Enrollment ID: I20230526000437 |
| Provider Name | Stephanie E Toro Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740987593 PECOS PAC ID: 1153788534 Enrollment ID: I20230530001594 |
| Provider Name | Alma C Torres Colon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265046890 PECOS PAC ID: 4486011871 Enrollment ID: I20230530002225 |
| Provider Name | Abuzar Raghib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376209114 PECOS PAC ID: 8426415779 Enrollment ID: I20230601001783 |
| Provider Name | Adam J Lessard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780213462 PECOS PAC ID: 4880051077 Enrollment ID: I20230602000964 |
| Provider Name | Anastasia Aguiar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881382992 PECOS PAC ID: 6507223757 Enrollment ID: I20230605000761 |
| Provider Name | Christine L Xue |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023543600 PECOS PAC ID: 3173890613 Enrollment ID: I20230607002271 |
| Provider Name | Lauren E Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952025603 PECOS PAC ID: 0840657755 Enrollment ID: I20230608001638 |
| Provider Name | Sarah R Beier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679992671 PECOS PAC ID: 2567709355 Enrollment ID: I20230615001265 |
| Provider Name | Yuxuan Hu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407381759 PECOS PAC ID: 0143564161 Enrollment ID: I20230616001676 |
| Provider Name | Yu Chih Hung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154853505 PECOS PAC ID: 9739450982 Enrollment ID: I20230623000773 |
| Provider Name | Shawneladee Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285935890 PECOS PAC ID: 5294903738 Enrollment ID: I20230627000465 |
| Provider Name | Rebecca Chad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164900916 PECOS PAC ID: 0648639005 Enrollment ID: I20230703000153 |
| Provider Name | Toby O Raju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366102204 PECOS PAC ID: 8921480401 Enrollment ID: I20230703000497 |
| Provider Name | Rebecca L Saint Paul |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508505272 PECOS PAC ID: 6204295678 Enrollment ID: I20230703000543 |
| Provider Name | Isaac E Stillman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548207723 PECOS PAC ID: 7517906050 Enrollment ID: I20230706000834 |
| Provider Name | Denise Lucero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619621240 PECOS PAC ID: 9234598467 Enrollment ID: I20230706003276 |
| Provider Name | Samuel Dubin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740818202 PECOS PAC ID: 3274992326 Enrollment ID: I20230707000091 |
| Provider Name | Milana Zirkiyeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730608092 PECOS PAC ID: 8123367877 Enrollment ID: I20230712003316 |
| Provider Name | Muhammad S Islam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114612934 PECOS PAC ID: 7618338476 Enrollment ID: I20230727000411 |
| Provider Name | Juan C Revelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336833144 PECOS PAC ID: 9931560638 Enrollment ID: I20230727002558 |
| Provider Name | Jose Bou Nassif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992285993 PECOS PAC ID: 9133470453 Enrollment ID: I20230727002690 |
| Provider Name | Gabrielle Mayer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942839055 PECOS PAC ID: 4981066966 Enrollment ID: I20230809000347 |
| Provider Name | Kazi Nusrat Jahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255987129 PECOS PAC ID: 4385006188 Enrollment ID: I20230810002049 |
| Provider Name | Doris Leithner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043978166 PECOS PAC ID: 9436511250 Enrollment ID: I20230810003298 |
| Provider Name | James O'mara Shea |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1932561354 PECOS PAC ID: 2860785284 Enrollment ID: I20230811000496 |
| Provider Name | Pauline Cheung |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215490149 PECOS PAC ID: 7416319025 Enrollment ID: I20230815000294 |
| Provider Name | John J Mackenzie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780110700 PECOS PAC ID: 4486983145 Enrollment ID: I20230815000711 |
| Provider Name | Lisebeth Galan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770067423 PECOS PAC ID: 7012379548 Enrollment ID: I20230816001460 |
| Provider Name | Sarah Worku |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932751732 PECOS PAC ID: 6406183342 Enrollment ID: I20230821000162 |
| Provider Name | Abigail G Barima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659059228 PECOS PAC ID: 1153784244 Enrollment ID: I20230822002647 |
| Provider Name | Berkay Kalinaga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639656218 PECOS PAC ID: 2365780681 Enrollment ID: I20230822003668 |
| Provider Name | Andy Toledo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184302085 PECOS PAC ID: 0547623696 Enrollment ID: I20230823000910 |
| Provider Name | John Cancel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043501562 PECOS PAC ID: 4183087133 Enrollment ID: I20230824001031 |
| Provider Name | Eun Jung Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114573615 PECOS PAC ID: 6800222738 Enrollment ID: I20230824001182 |
| Provider Name | Emilie A George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457812372 PECOS PAC ID: 7113301193 Enrollment ID: I20230824002669 |
| Provider Name | Alexis Leiderman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437838315 PECOS PAC ID: 6800259789 Enrollment ID: I20230824002685 |
| Provider Name | Tyler C Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134660301 PECOS PAC ID: 8628471653 Enrollment ID: I20230824003066 |
| Provider Name | Hila Fruchtman Brot |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053076885 PECOS PAC ID: 1355704032 Enrollment ID: I20230829000204 |
| Provider Name | Sherief H Garrana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972860088 PECOS PAC ID: 7315248986 Enrollment ID: I20230829002398 |
| Provider Name | Gloria L Castilloveitia Vega |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811440589 PECOS PAC ID: 0941663421 Enrollment ID: I20230831000193 |
| Provider Name | Nancy Asseraf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770141277 PECOS PAC ID: 5496187726 Enrollment ID: I20230906002572 |
| Provider Name | Carla Paola Avellan Herrera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760903421 PECOS PAC ID: 5991169005 Enrollment ID: I20230907003235 |
| Provider Name | Daniser Abrams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336826858 PECOS PAC ID: 1254795289 Enrollment ID: I20230911000298 |
| Provider Name | Vincent R Lasala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356799258 PECOS PAC ID: 5890087332 Enrollment ID: I20230913001688 |
| Provider Name | Delia Shen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790312403 PECOS PAC ID: 6406210111 Enrollment ID: I20230914000319 |
| Provider Name | Marko Anton Sabolich |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750600755 PECOS PAC ID: 0345411070 Enrollment ID: I20230920003026 |
| Provider Name | Marie-ange J Castagne-petit-frere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679720692 PECOS PAC ID: 6305124579 Enrollment ID: I20230927001732 |
| Provider Name | Dayana Sanchez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972130854 PECOS PAC ID: 2567816333 Enrollment ID: I20230927002426 |
| Provider Name | Woinshet Zelelew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285334698 PECOS PAC ID: 4385098094 Enrollment ID: I20230929000505 |
| Provider Name | Daphnee J Georges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750034153 PECOS PAC ID: 1850745571 Enrollment ID: I20230929000870 |
| Provider Name | Justin Yi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134804214 PECOS PAC ID: 0345694964 Enrollment ID: I20230929001162 |
| Provider Name | Cornea N Khan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932662665 PECOS PAC ID: 1153776521 Enrollment ID: I20231005001006 |
| Provider Name | Miriam A Bredella |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861482028 PECOS PAC ID: 6305823709 Enrollment ID: I20231012000139 |
| Provider Name | Ralph Beaubrun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144697483 PECOS PAC ID: 5193170827 Enrollment ID: I20231016001451 |
| Provider Name | Jennifer Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255693511 PECOS PAC ID: 4385950260 Enrollment ID: I20231020000772 |
| Provider Name | Amanda M Laventure |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538539101 PECOS PAC ID: 2961831789 Enrollment ID: I20231023001332 |
| Provider Name | Nandini Singh-ramdass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669131546 PECOS PAC ID: 2163887233 Enrollment ID: I20231030000437 |
| Provider Name | Israa Y Maani |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1235752593 PECOS PAC ID: 7618324260 Enrollment ID: I20231103002232 |
| Provider Name | Makrous M Mashreky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619610003 PECOS PAC ID: 1658728761 Enrollment ID: I20231111000180 |
| Provider Name | Shinae Park |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982485991 PECOS PAC ID: 3971950080 Enrollment ID: I20231111000414 |
| Provider Name | Hillary K Catlin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326412818 PECOS PAC ID: 3971950759 Enrollment ID: I20231116000747 |
| Provider Name | Mary E O'brien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114079118 PECOS PAC ID: 8022465814 Enrollment ID: I20231116000970 |
| Provider Name | Melissa L Chu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053191940 PECOS PAC ID: 6800243551 Enrollment ID: I20231117000304 |
| Provider Name | Sudina Dahal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568024990 PECOS PAC ID: 1052769262 Enrollment ID: I20231129000874 |
| Provider Name | Emmanuelle J Duterte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184825945 PECOS PAC ID: 3072685478 Enrollment ID: I20231129001099 |
| Provider Name | Jason Kennedy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457979171 PECOS PAC ID: 2264840461 Enrollment ID: I20231204000445 |
| Provider Name | Chanttal Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225810237 PECOS PAC ID: 5991154759 Enrollment ID: I20231206000892 |
| Provider Name | Karla M Alvizures |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386429819 PECOS PAC ID: 0648629345 Enrollment ID: I20231206002643 |
| Provider Name | Deepa Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235888553 PECOS PAC ID: 7517316110 Enrollment ID: I20231207002962 |
| Provider Name | Harriet W Mckinley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821174665 PECOS PAC ID: 3779829551 Enrollment ID: I20231211002166 |
| Provider Name | Tanika Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477136174 PECOS PAC ID: 7810346251 Enrollment ID: I20231212000395 |
| Provider Name | Michelle K Huynh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417720947 PECOS PAC ID: 6002265303 Enrollment ID: I20231212002898 |
| Provider Name | Theresa Kim N Vu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356089528 PECOS PAC ID: 4688024110 Enrollment ID: I20231227000090 |
| Provider Name | Cody Demarco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477058501 PECOS PAC ID: 5890025712 Enrollment ID: I20240102003531 |
| Provider Name | Kevin T Chan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144644972 PECOS PAC ID: 3072965110 Enrollment ID: I20240115000389 |
| Provider Name | Daniel T Parrott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932630605 PECOS PAC ID: 4981056066 Enrollment ID: I20240115001416 |
| Provider Name | Chime Dolkar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548920366 PECOS PAC ID: 8426414269 Enrollment ID: I20240124000792 |
| Provider Name | Adrielle L.a. El-dyson Otoo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164964078 PECOS PAC ID: 0244683274 Enrollment ID: I20240126000080 |
| Provider Name | Kathy Y Yeung |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1467431759 PECOS PAC ID: 1052764560 Enrollment ID: I20240131004764 |
| Provider Name | Zhiling Mei |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1205853280 PECOS PAC ID: 6305299736 Enrollment ID: I20240201000859 |
| Provider Name | Johanna J Monro |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568236305 PECOS PAC ID: 6103279567 Enrollment ID: I20240201001721 |
| Provider Name | Pattie-dean C Thompson-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811488117 PECOS PAC ID: 7517215106 Enrollment ID: I20240223001485 |
| Provider Name | Angela Trozzi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992210116 PECOS PAC ID: 0648539676 Enrollment ID: I20240228000377 |
| Provider Name | Alicia N Ambrosino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578197687 PECOS PAC ID: 2466897533 Enrollment ID: I20240228002187 |
| Provider Name | Tenzin Zompa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174384226 PECOS PAC ID: 9234574351 Enrollment ID: I20240228003940 |
| Provider Name | Christopher M Belgodere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467229567 PECOS PAC ID: 1658716774 Enrollment ID: I20240228004083 |
| Provider Name | Jessica De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881390482 PECOS PAC ID: 4082059795 Enrollment ID: I20240304001058 |
| Provider Name | Yalda Safai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508376864 PECOS PAC ID: 9537572029 Enrollment ID: I20240304001936 |
| Provider Name | Suzannah E Johnston |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912551029 PECOS PAC ID: 4981040037 Enrollment ID: I20240311003744 |
| Provider Name | Nancy Tweneboah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528847787 PECOS PAC ID: 4688010770 Enrollment ID: I20240312001104 |
| Provider Name | Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730310806 PECOS PAC ID: 4385080233 Enrollment ID: I20240313003166 |
| Provider Name | Yevgenia Peresypkina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174384804 PECOS PAC ID: 4880031541 Enrollment ID: I20240318002905 |
| Provider Name | Kaitlin M Malone |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356004527 PECOS PAC ID: 5395130314 Enrollment ID: I20240321001561 |
| Provider Name | Anisa Yasin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417366980 PECOS PAC ID: 2466899794 Enrollment ID: I20240322001262 |
| Provider Name | Larissa J Rancier-otero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902594385 PECOS PAC ID: 2567809643 Enrollment ID: I20240325002990 |
| Provider Name | Stacey M Wolfson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467949388 PECOS PAC ID: 8729327572 Enrollment ID: I20240415003173 |
| Provider Name | Yaseen Baseer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063902195 PECOS PAC ID: 9335524875 Enrollment ID: I20240418002248 |
| Provider Name | James Loftus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033606306 PECOS PAC ID: 8820333842 Enrollment ID: I20240419003452 |
| Provider Name | Christina Chatelain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982476081 PECOS PAC ID: 5294175204 Enrollment ID: I20240424002259 |
| Provider Name | Sheryl D Bawayan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275779803 PECOS PAC ID: 8022458090 Enrollment ID: I20240425000137 |
| Provider Name | Rita E Igwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477140028 PECOS PAC ID: 5597105270 Enrollment ID: I20240429000934 |
| Provider Name | Phoebe H Dann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396913968 PECOS PAC ID: 3779649371 Enrollment ID: I20240430000600 |
| Provider Name | Sai Mi Kim |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1144603275 PECOS PAC ID: 7618274200 Enrollment ID: I20240430001670 |
| Provider Name | Kerry K Meltzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861951618 PECOS PAC ID: 4587034624 Enrollment ID: I20240503001344 |
| Provider Name | Lena M George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063905107 PECOS PAC ID: 8820348576 Enrollment ID: I20240506000675 |
| Provider Name | Alison M. Liss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710515424 PECOS PAC ID: 4082054184 Enrollment ID: I20240506001352 |
| Provider Name | Mianna R. Questelles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912308255 PECOS PAC ID: 5799125803 Enrollment ID: I20240506001897 |
| Provider Name | Jonathan Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700466067 PECOS PAC ID: 7214378132 Enrollment ID: I20240509002001 |
| Provider Name | Christina I Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669059861 PECOS PAC ID: 7810338431 Enrollment ID: I20240514003340 |
| Provider Name | Ehinor E Isidahome |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255951984 PECOS PAC ID: 6204277734 Enrollment ID: I20240514004095 |
| Provider Name | Monique J Du Boulay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811559677 PECOS PAC ID: 8426499765 Enrollment ID: I20240516003836 |
| Provider Name | Emily E Caruso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003495839 PECOS PAC ID: 8325489560 Enrollment ID: I20240518000027 |
| Provider Name | Paul Ahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922644921 PECOS PAC ID: 6103268388 Enrollment ID: I20240521001102 |
| Provider Name | Sukanya V Vartak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235698176 PECOS PAC ID: 1254706617 Enrollment ID: I20240522000861 |
| Provider Name | Kathryn L Havranek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831773357 PECOS PAC ID: 6901348812 Enrollment ID: I20240606003640 |
| Provider Name | Sneha Panganamamula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588244107 PECOS PAC ID: 0446792287 Enrollment ID: I20240607000440 |
| Provider Name | Charlotte Charbel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558037614 PECOS PAC ID: 2163886045 Enrollment ID: I20240611000477 |
| Provider Name | Kira N Poncelet |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558112961 PECOS PAC ID: 9931642279 Enrollment ID: I20240614003028 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
Vincent Esposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |